Cooper University Health Care - Camden, NJ

posted about 2 months ago

Full-time - Mid Level
Camden, NJ
Hospitals

About the position

The Revenue Cycle Analyst at Cooper University Health Care plays a crucial role in enhancing the efficiency and effectiveness of the revenue cycle operations. This position is responsible for analyzing key performance metrics within the revenue cycle, developing and refining reports that not only identify existing problems but also highlight potential opportunities for improvement. The analyst will focus on analyzing third-party denials and preparing relevant reports that track trends in third-party payments, denials, and rejections. In collaboration with ancillary departments and third-party payor representatives, the Revenue Cycle Analyst will work to identify the sources of denials and develop processes aimed at eliminating or minimizing untimely payments, underpayments, denials, and rejections. This proactive approach is essential for improving cash flow and ensuring the financial health of the organization. The analyst will be responsible for preparing, mining, evaluating, resolving, distributing, and accurately recording statistics in a timely manner. A key aspect of this role involves a thorough understanding and management of all functions related to third-party billing processes, with a specialization in hospital and professional fee denial management, as well as fee schedule reimbursements. The analyst will create and provide regular updates to reports that help identify and correct issues negatively impacting revenue. Additionally, the role includes reviewing individual denials to determine their causes, monitoring denial trends, and recommending corrective and preventative actions. The Revenue Cycle Analyst will also produce ad-hoc reports and actively participate in global revenue cycle initiatives, leading processes that affect operations within the revenue cycle.

Responsibilities

  • Assist the Revenue Cycle with analysis of key performance metrics.
  • Develop and refine reports that identify problems and highlight potential opportunities.
  • Analyze third-party denials and prepare relevant reports regarding trends in third-party payments, denials, and rejections.
  • Work with ancillary departments' staff and third-party payor provider representatives to identify sources of denials.
  • Develop processes to eliminate and/or minimize untimely payments, underpayments, denials, and rejections to improve cash flow.
  • Prepare, mine data, evaluate, resolve, distribute, and record statistics accurately and timely.
  • Manage all functions related to third-party billing processes, specializing in hospital and professional fee denial management and fee schedule reimbursements.
  • Create and provide regular updates to reports that help identify and correct issues negatively impacting revenue.
  • Review individual denials to determine why they occurred.
  • Monitor denial trends and reports; recommend corrective and preventative actions.
  • Produce ad-hoc reports.
  • Actively participate in global revenue cycle initiatives and lead processes affecting operations within the revenue cycle.

Requirements

  • Experience in data analysis/data modeling with the ability to analyze data creatively and display results compellingly.
  • Experience with EPIC Enterprise preferred.
  • Knowledge of database management software (Access, SQL).
  • Strong computer skills; proficiency with Microsoft Office suite.
  • Thorough understanding of ICD-10, CPT codes, HCPCS codes, hospital and physician billing, third-party reimbursements, and contracts.
  • Software implementation and project management skills.
  • Excellent interpersonal skills and superior writing skills.
  • Deadline-oriented with the ability to work independently and in a team environment.
  • Ability to manage multiple complex and concurrent projects.

Nice-to-haves

  • Experience in healthcare revenue cycle management.
  • Familiarity with financial analysis and reporting.

Benefits

  • Competitive rates and compensation.
  • Comprehensive employee benefits programs.
  • Attractive working conditions.
  • Opportunities for professional development.
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