Revenue Cycle Analyst

Maine Medical Center - Portland, ME

Full-time

Portland, ME

Hospitals

About the position

The Revenue Cycle Analyst at MaineHealth serves as a key contact for various stakeholders regarding payer audits and denials. This role involves tracking and analyzing audit data, coordinating submissions for external payer audits, and promoting communication within the revenue cycle. The analyst will work independently while adhering to MaineHealth's defined revenue cycle audit processes.

Responsibilities

• Serve as the primary point of contact for RCM Directors, Managers, and clinical support staff regarding payer audits and denials.
• Assist in routing pre- and post-discharge denials and outpatient denials.
• Coordinate and facilitate the submission of all external payer audits and appeals.
• Promote increased communication within the revenue cycle and between hospital departments regarding denial management.
• Work independently while understanding MaineHealth's revenue cycle audit process.

Requirements

• High School diploma or Associate's degree preferred.
• At least three to five years' experience in a healthcare or administrative setting.
• Knowledge of medical terminology.
• Excellent organizational, computer, written, and oral communication skills.
• Strong time management and critical thinking skills.
• Ability to foresee projects from start to finish and identify trends in audit and denials management data.
• Ability to establish and maintain effective working relationships with various stakeholders.
• Ability to maintain patient confidentiality and knowledge of HIPAA, CMS, and MaineHealth policies.