Revenue Cycle Analyst

$90,000 - $100,000/Yr

Acord Solutions Group - New York, NY

Full-time

New York, NY

Professional, Scientific, and Technical Services

About the position

The Revenue Cycle Analyst plays a crucial role in supporting the revenue cycle operations within a central business office. Reporting to the Associate Director of Revenue Cycle, this position is responsible for conducting analytical assessments, reporting, and operational support related to various accounts receivables, including government and third-party payers. The analyst will utilize their expertise in billing, data analysis, and process improvement to enhance revenue cycle efficiency and effectiveness.

Responsibilities

• Review and analyze Explanation of Benefits (EOBs) and payer correspondences to identify denials for appeal.
• Perform denials analysis to reduce controllable rejections.
• Extract and manipulate data using BI tools, Excel, and other query tools within practice management systems.
• Utilize knowledge of group payer contracts and policies to perform reimbursement analysis.
• Communicate changes in insurance policies discovered through claim denials to stakeholders.
• Participate in training sessions for end-user education within the central business office.
• Facilitate payer projects to manage bulk appeals with stakeholders and insurance carriers.
• Oversee various projects as directed by the Associate Director, including developing and executing communication plans.
• Monitor and analyze work queue inventory to identify corrective actions and improve logic build.
• Develop new report templates for ad-hoc and standard monthly reports to monitor Revenue Cycle Metrics.
• Assess revenue cycle processes focusing on process improvement and best practices.
• Prepare reports and presentations for leadership.
• Assist with management of user access to various systems and auditing vendor invoices for payment.
• Analyze productivity and operational performance of business units using key metrics.

Requirements

• Bachelor's degree or equivalent in education and experience.
• 4 years of related experience, preferably in physician billing and third-party payer reimbursement.
• Advanced skills in Excel and BI data applications for data manipulation.
• Strong verbal and written communication skills.
• Ability to work independently and manage multiple tasks with minimal supervision.
• Proficiency in health insurance billing, collections, and eligibility concepts.
• Strong knowledge of electronic billing systems and willingness to learn new systems.
• Advanced proficiency in data extractions and business analytic applications.
• Demonstrated skills in A/R management and collaborative problem-solving.

Nice-to-haves

• Knowledge of Epic PB Resolute is preferred.
• Familiarity with data visualization tools such as Tableau or Power BI.

Benefits

• Competitive salary range of $90,000 - $100,000 per year.
• Full-time position with a standard work schedule of Monday to Friday, 9AM-5PM.