Touro University California - Stockton, CA
posted 4 months ago
The Revenue Cycle Reporting Analyst (RCA) will work under the general supervision of the Director, Business and Clinic Operations. This position is responsible for ensuring that patient billing and processing of payment receipts are completed in a timely manner and in accordance with policy. The RCA will minimize bad debt, improve cash flow, and effectively manage accounts receivable. This position will coordinate effective support to management for all revenue cycle activities across the organization, including but not limited to front desk operations, out-patient billing, hospital billings, collections, and staff and physician training. The RCA will participate in program and service evaluation activities that include facilitation and changes in the provision of service based on Continuous Quality Improvement results, such as Denial Management, MIPS, and HEDIS. The role involves compiling and preparing various status reports for management to analyze trends, as well as participating in the preparation of monthly, quarterly, and annual financial reports with TUMG Corporate Leadership. The RCA will monitor data integrity of the practice management system, including reconciliation of charges and collections, and will report problems to their Supervisor or other appropriate personnel in a timely manner. Additionally, the RCA will provide a weekly summary on the status of outstanding charges greater than 90 days in the Accounts Receivable Aging report and will monitor gross charges to determine the potential need for an update to the fee schedule on at least an annual basis. The RCA will also facilitate and ensure the RVU Schedule and Fee Schedule is updated in the EMR annually and calculated accurately based on the annual CMS Update for the Practice location. Communication with all healthcare providers regarding open encounters will be a key responsibility, as well as ensuring the timeliness of processing and correction of Claim Edit and Rejection Reports from the EMR and Clearinghouse. The RCA will maintain current information for billing and collections processes for each third-party carrier in a Billing Manual and will monitor and identify any patterns in remittance advices that indicate employees are not properly collecting insurance information. The role requires adherence to confidentiality regarding patient Protected Health Information (PHI) and compliance with all aspects of the Corporate Compliance Program, including following the Program Code of Conduct and obeying all relevant laws and regulations applicable to Medicaid, Medicare, and other State and Federal health care programs.