Revenue Cycle HC Analyst 3 (REVENUE CYCLE HC ANL 3)

Acord Solutions Group - Sacramento, CA

Full-time - Mid Level

Onsite - Sacramento, CA

Professional, Scientific, and Technical Services

About the position

The Revenue Cycle HC Analyst 3 position focuses on hospital/facility billing reimbursement analysis, system/process development, problem resolution, and workflow oversight. The role involves analyzing and reporting on contract payor performance, identifying discrepancies in expected reimbursements, and ensuring accurate account information for timely billing. This hybrid position requires collaboration with various departments to enhance revenue cycle efficiency and effectiveness.

Responsibilities

• Perform analysis and problem solving of issues/problems without precedent and/or structure.
• Provide detailed analysis and reporting of contract payor performance, including payment trends, denials, delinquencies, and payment variances.
• Identify and track issues related to expected reimbursement vs payment discrepancies to maximize revenue and increase efficiency.
• Work with internal and external departments to formulate strategies and administer policies, processes, and resources.
• Ensure account information contains accurate and comprehensive data for timely billing and optimal reimbursement.
• Review processes including authorization, registration, charge capture, coding, insurance identification, data entry, billing, contract management, payment posting, refund processing, and collections.
• Act as the department liaison for Contract Management system development and operation.
• Maintain contract profiles in EPIC and/or vendor system, conducting extensive testing before deployment.

Requirements

• Bachelor's degree in a related area and/or equivalent experience.
• Experience in academic institutions or large integrated health systems.
• Knowledge of hospital/facility billing and reimbursement procedures for Commercial/Managed Care and Government payors.
• Experience with revenue cycle information systems or system implementation teams for complex projects.
• Hospital/facility billing and accounts receivable experience.
• In-depth knowledge of healthcare revenue cycle practices, procedures, concepts, and component operations.
• Intermediate to advanced use of data mining software applications, including Microsoft Excel, and ability to create Executive-level reporting in PowerPoint and Word.
• Experience with Clearinghouse, Contract Management, and Patient Accounting systems.
• Strong experience advising management and providing proposals for improvement in revenue cycle management.
• Advanced communication skills to interpret and convey complex clinical finance information.

Nice-to-haves

• Experience using tools such as Slicer and Tableau.
• Experience building and maintaining contracts in EPIC.

Benefits

• Continuing education credits
• Dental insurance
• Disability insurance
• Employee assistance program
• Loan assistance
• Loan forgiveness
• Paid holidays