Revenue Cycle Analyst jobs in United States
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Forefront Dermatology · 1 month ago

Revenue Cycle Analyst

Forefront Dermatology is a healthcare organization seeking a Revenue Cycle Analyst to support their revenue cycle team. This role involves analyzing financial and operational data, identifying trends, and improving processes related to billing, collections, and reimbursement.

Cosmetic SurgeryHealth CareMedical

Responsibilities

Collect, review, and analyze data related to patient billing, payments, denials, and reimbursements
Prepare standard reports and dashboards to support decision-making
Assist in identifying process inefficiencies and opportunities for revenue optimization
Monitor key performance indicators (KPIs) and escalate variances to senior analysts or leadership
Investigates claim denials, performs root cause analysis, prepares reporting, and collaborates with various teams to prevent future denials
Support audits, compliance reviews, and documentation requests
Maintain accurate records, data integrity, and confidentiality of sensitive financial information
Collaborate with cross-functional teams (billing, coding, finance, operations) to resolve routine issues
Analyzes and maintains payer contracts, identifies payment discrepancies, and serves as a liaison with payers to resolve issues and optimize reimbursement
Provide support for system testing, upgrades, and implementation of revenue cycle tools
Evaluate revenue cycle processes (billing, collections, denials, reimbursement) and recommend improvements to enhance accuracy, timeliness, and compliance
Analyze claim denials, identify root causes, and propose corrective action plans to reduce recurrence
Prepare reports, dashboards, and presentations with insights that inform leadership decision-making
Assess payer contract performance, identify discrepancies, and escalate significant issues with recommended solutions
Collaborate with cross-functional teams to resolve systemic issues, streamline workflows, and strengthen financial outcomes
Support audits and compliance reviews by analyzing documentation, identifying risks, and recommending process changes
Participate in system upgrades and new technology implementation by evaluating impacts, testing functionality, and providing recommendations for optimization
Contribute to policy and procedure development by identifying gaps and suggesting revisions that support best practices

Qualification

Data analysisHealthcare revenue cycleMicrosoft ExcelProblem-solvingCommunication skills

Required

3-5 Year's experience
Bachelor's degree in Finance, Accounting, Healthcare Administration, Business, or related field (or equivalent experience)
Strong analytical and problem-solving skills
Proficiency with Microsoft Excel and other data analysis tools
Excellent attention to detail and organizational skills
Effective written and verbal communication skills

Preferred

Basic understanding of healthcare revenue cycle concepts (billing, coding, collections, reimbursement)

Company

Forefront Dermatology

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Forefront Dermatology provides medical dermatology solutions that help its users maintain a healthy skin.

Funding

Current Stage
Late Stage
Total Funding
$47M
Key Investors
Penfund
2022-02-11Acquired
2016-02-17Private Equity· $47M
2016-02-17Debt Financing

Leadership Team

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Matt Mellott
Chief Executive Officer
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John Weatherbie
Chief Technology Officer
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Company data provided by crunchbase