Revenue Cycle Analyst, Healthcare jobs in United States
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BAYADA Home Health Care · 5 days ago

Revenue Cycle Analyst, Healthcare

BAYADA Home Health Care is an accredited provider celebrating 50 years of service. The Revenue Cycle Analyst will analyze and optimize the revenue cycle processes while serving as a liaison among various stakeholders to ensure accurate reporting and enhance revenue integrity.

Health CareMedical

Responsibilities

Serve as a subject matter expert on designated revenue cycle functions (insurance verification, authorization, billing, collections, payer setup, payer performance, and EMR system support)
Prepare, analyze, and distribute recurring and ad hoc reports to highlight trends, risks, and opportunities for improvement
Identify and escalate front-end revenue cycle, payer, billing, or collection issues and recommend solutions to improve reimbursement and reduce days sales outstanding (DSO)
Partner with service offices and reimbursement staff to address denials, reimbursement delays, and preventable bad debt
Conduct root cause analyses of revenue cycle challenges and recommend process improvements to eliminate inefficiencies and manual work
Provide training, guidance, and technical support to associates and senior associates as assigned and needed
Collaborate with designated team members to provide technical support
Conduct quality audits to ensure compliance with standards and share results with leadership for next steps
Facilitate quarterly account management meetings with the service offices to review revenue cycle performance, develop corrective action plans as necessary, and lead collaborative efforts to improve the process to minimize bad debt
Lead or support initiatives related to process improvement, new payer implementation, and cross-functional collaboration
Develop and deliver in-service education and cross-functional training programs based on the Revenue Cycle Management office's needs
Serve as a key point of contact for reimbursement-related inquiries from internal stakeholders

Qualification

Healthcare revenue cycleData analysisMicrosoft Office SuiteInsurance verificationAuthorization processesBilling managementCustomer service mindsetInterpersonal skillsWritten communicationPresentation skillsOrganizational skills

Required

Four (4) year college degree in healthcare administration, business, finance, or related field
Minimum two (2) years of healthcare revenue cycle, reimbursement, or related business experience (home health preferred)
Minimum two (2) years of experience with BAYADA revenue cycle operations
Demonstrated record of goal achievement and exceeding performance standards
Proven ability to analyze and interpret revenue cycle data and create actionable reports
Strong interpersonal skills with a demonstrated ability to build collaborative relationships
Excellent written, verbal, and presentation skills
Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook); familiarity with business intelligence tools and EMR systems
Understanding of basic business software applications required to perform job functions
Highly organized with strong attention to detail and ability to manage competing priorities
Customer service mindset with commitment to excellence and reliability
Specialized knowledge (as applicable to assignment):
Collections: Comprehensive understanding of collection processes across all payer types (Medicare A/B, Medicaid, FFS, PDGM, and Managed Care for Home Health & Hospice)
Insurance Verification: In-depth understanding of insurance verification processes
Authorizations: Thorough knowledge of authorization requirements for all applicable payers
Billing & Support: Strong understanding of revenue cycle management functions across billing and reimbursement

Benefits

Paid holidays
Vacation and sick leave
Vision
Dental and medical health plans
Employer paid life insurance
401k with company match
Direct deposit
Employee assistance program

Company

BAYADA Home Health Care

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BAYADA Home Health Care, one of the largest home health providers with over 325 locations in the U.S. and operations in Germany, India, Irel

Funding

Current Stage
Late Stage

Leadership Team

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David Baiada
Chief Executive Officer
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Sue Moss
Senior Vice President, Payer Strategy & Gov't Affairs
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Company data provided by crunchbase