- The Senior Revenue Cycle Analyst performs analysis of financial and statistical data related to revenue cycle; creation, analysis, and distribution of reports surrounding all Revenue Cycle functions and Key Performance Indicators.The role leads the activities of the Revenue Cycle analysts and reports to the Manager of Revenue Cycle Operations.
- The Senior Revenue Cycle Analyst provides leadership and training to analysts and practice staff, coordinates the resolution of HB and PB Map's related WQ issues, identifies areas of improvement and education opportunities.Works with leadership to support issues related to Registration, Charge Capture, Billing, Charge Correction and Revenue Cycle Workflow Assessments.
- Provides subject matter expertise to revenue cycle leaders and other key stakeholder.
- Ensures that all efforts of the team ultimately meet practice goals:
- Monitors all charge/revenue related work queues to ensure resolution of accounts are occurring in a timely manner.
- Evaluates outstanding work and directs team members to ensure efficient and timely resolution.
- Conducts interactions with internal customers in an organized and professional manner.
- Creates a culture collaboration by delivering timely and trustworthy solutions and training.
- Leads support for WQ analytics as needed Analyzes and reports variances for a variety of Revenue Cycle functions.
- Leadership of team:
- Under the direction of the Manager of Revenue Cycle, leads analyst daily productivity and projects.
- Holds team accountable to identified performance measures.
- Acts as a project lead for revenue cycle/operational improvement projects and activities.
- Is action oriented and strives to achieve desired outcomes on schedule Support and manage entity goals and initiatives.
- Provides feedback to the Manager on team member performance to support annual performance reviews.
- Participates in entity and department wide initiatives for patient/employee safety:
- Demonstrates an awareness of patient/employee safety when carrying out daily responsibilities.
- Maintains team awareness of the importance of privacy when working with various data sources.
- Communications:
- Conducts effective interviews to support problem solving and solution development.
- Provides technical and analytical guidance and expertise.
- Recommends thorough analysis, solutions of revenue cycle problems.
- Determines the most effective communications for each situation.
- Presents findings and recommendations in a clear, concise manner.
- Relationship Management:
- Establishes strong working relationships with Revenue Cycle Leaders and Staff.
- Establishes credibility by providing value-add services to assigned groups.
- Work with various partners such as SDS, IS, Data Science, etc. across the system to design, develop, and maintain various reporting capabilities.
- Follow-up with Revenue Cycle teams and the Divisions to ensure adherence to policies and their effect on metrics.
- Workforce Planning:
- Partners with the Manager to recruit competent, service orientated staff.
- Provides on-going, fair, and consistent feedback.
- Stays Current with industry standards, rules and regulations affecting reimbursement and revenue cycle.
- Performs duties in accordance with Penn Medicine and entity values, policies, and procedures.
- Other duties as assigned to support the unit, department, entity, and health system organization.
- AAHAM or HFMA Certification (Preferred).
- Bachelor's Degree and 5+ years of revenue cycle experience.
- OR H.S. Diploma/ GED and 9+ years of progressive revenue cycle experience.
- An even keeled individual who is substantive enough to sit at the executive table while also relating to interdisciplinary teams of clinical and non-clinical staff.
- Ability to utilize critical thinking.
- A sense of urgency and strong customer service orientation.
- Ability to work independently and effectively with prudent judgment and discretion at all times.
- Thoughtful and practical approach to problem solving.
- Skills in work prioritization and management, including work planning.
- Ability to manage staff and multiple projects simultaneously.
- Thrives in a fast-paced team-oriented environment.
- Demonstrates mastery of and maintains knowledge of medical terminology, CPT, and Diagnosis Codes.
- Familiarity of EPIC-ADT referral management processes and procedures.
- Knowledge of other front-end processes, including scheduling, pre-registration, financial counseling, and registration.
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Senior Revenue Cycle Analyst - Philadelphia, United States - Pennsylvania Medicine
Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Senior Revenue Cycle Analyst
This position can be worked remotely from anywhere within the tri-state area.
Job Summary:
Live Your Life's Work
We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.