Clinical Health Network For Transformation (CHN) · 1 day ago
Revenue Cycle Operations Senior Analyst
United States
Full-time
Remote
Mid, Senior Level
$67K/yr - $96K/yr
5+ years expClinical Health Network for Transformation (CHN) is dedicated to advancing health equity and providing high-quality, affordable care. The Revenue Cycle Operations Senior Analyst will provide expert guidance and operational support in revenue cycle management, ensuring compliance and optimizing efficiency across the organization.
Non-profit Organization Management
Responsibilities
Serve as a technical advisor, partnering with leadership stakeholders, on end-to-end revenue cycle management, including but not limited to registration, charge capture, coding, claims submission, denials management, and collections
Provide guidance on Epic revenue cycle functionality, workflows, and configuration best practices
Interpret payer rules, regulatory updates, and reimbursement trends, communicating relevant guidance to stakeholders
Develop and disseminate technical assistance resources, including toolkits, SOPs, and job aids tailored to stakeholder’s needs
Participate in member affiliate Customer Success meetings to offer guidance and subject matter expertise
Maintain dashboards for affiliate members to support shared accountability for front-end accuracy
Monitor and analyze revenue cycle key performance indicators (KPIs) such as days in A/R, denial rates, and collection efficiency
Offer comprehensive denials management guidance and education to leadership stakeholders aimed at minimizing the occurrence of denials
Identify trends and performance gaps and work collaboratively with leadership stakeholders (internally and externally) to develop corrective action plans
Work with the Access Quality Manager to set revenue cycle management (RCM) priorities for Quality Analysts
Support data-driven decision-making through customized reports, dashboards, and performance plans
Facilitate peer learning and best practice sharing across CHN and the member affiliates
Conduct targeted coaching sessions and feedback loops with stakeholder leadership when new denial trends emerge
Report in a dotted line to the Senior Manager of Learning & Organizational Development to design and lead RCM training sessions and workshops including but not limited to; Epic workflows and payer compliance
Facilitate the onboarding of CHN staff engaged in all aspects of the full revenue cycle (front, mid, and back) into integrated systems and standardized processes
Educate leadership stakeholders on pulling RCM reports from Epic
Collaborate closely with internal CHN teams (Finance, Compliance, Quality, Access Operations, IT, and PCE)
Partner with Epic analysts and Better Health teams to recommend EMR enhancements that improve insurance capture accuracy and referral/authorization documentation upstream
Contribute to cross-functional initiatives to improve the overall operational effectiveness
Upholds organizational values and standards, while proactively seeking ways to improve efficiency, equity, and service excellence
Ensure compliance with all CHN and affiliate policies, as well as all state and federal regulations
Provides positive and development feedback and accountability related to all practices
Demonstrates commitment to CHN and Planned Parenthood’s health equity mission, with emphasis on racial equity and community accountability. Demonstrates dedication to learning about racial equity and addressing structural racism in healthcare
Consistently delivers high-quality results using sound judgment and data-driven decisions. Prioritizes customer needs by providing prompt, accurate service to all stakeholders
Qualification
Required
5+ years of progressively responsible experience in healthcare revenue cycle management, including billing, coding, and claims processing
At least 2 years of experience at the management level in a relevant field
3-5 years of experience working in Epic
Experience providing technical assistance, training, or consultation to health centers or clinical organizations
Demonstrated proficiency in Epic revenue cycle modules (Professional Billing, Resolute, Prelude, Cadence)
Strong understanding of payer rules, CPT/HCPCS/ICD-10 coding, and reimbursement methodologies (FFS, Medicaid, managed care)
Exceptional analytical, problem-solving, and interpersonal skills
Commitment to reproductive and sexual health access and equity
Strong understanding of front-end access workflows (scheduling, registration, insurance verification, authorization)
Ability to translate complex payer rules into simple, repeatable scripting and workflows
Strong communication skills with both operational and technical teams
Willingness to travel in accordance with the needs of the position, as outlined in the essential functions. Compliance with all CHN travel policies, including safety guidelines while operating a personal vehicle
Preferred
Bachelor's degree in Health Administration, Business, Finance, or related field
Experience working in a Federally Qualified Health Center (FQHC), Planned Parenthood affiliate, or outpatient care (community-based health) setting
Knowledge of grant-funded health programs and safety-net reimbursement models
Certification(s): CRCR, CPC, or Epic certification preferred
Benefits
Health Care Coverage (Medical, Dental, & Vision); eligibility for full-time, regular employees on date of hire
Flexible Spending Accounts and Health Savings Account
Short-Term Disability and Basic Life & AD&D Insurance provided by CHN
Voluntary elections for Long Term Disability and Additional Life & AD&D Insurance available at cost
Employee Assistance Program
Retirement Plan, 3% employer match after one year of service
Paid Time Off Program includes accrual-based PTO, Health Time Off (HTO), and nine (9) paid Holidays
Company
Clinical Health Network For Transformation (CHN)
CHN (an ancillary organization of Planned Parenthood) is a managed services organization that will provide an expansive suite of integrated standardized shared services and manage the Clinically Integrated Network (CIN) formed to improve quality care delivery, generate additional revenue, and reduce overall cost.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Lee Bower, CPA
Chief Financial Officer
Aaron Caine
Interim Chief Information Officer
Company data provided by crunchbase