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Indiana Regional Medical Center · 23 hours ago

Revenue Cycle Analyst - Full Time

Indiana, Pennsylvania, United States

Full-time

Onsite

Entry, Mid Level

2+ years exp

Indiana Regional Medical Center is seeking a Revenue Cycle Analyst to support operations and decision-making through data analysis and reporting. The role involves maintaining confidentiality while handling patient information, providing project management support, and interacting with management to facilitate effective decision-making.

Hospital & Health Care

Responsibilities

Prepares ad hoc reports, analyses, and supportive data to support operations and decision making

Maintains confidentiality while working with patient protected health information and confidential organization information

Provides project management support as needed for any new or existing teams, e.g., Denials Team, Medicare value-based programs, etc

Troubleshoots and researches questions or issues raised by revenue cycle or clinical departments related to revenue cycle functions

Interacts with Management and Senior Leadership to provide the necessary data required to make effective decisions

Responsible for extracting, analyzing, monitoring, and studying data

Data mining from financial decision support systems or applicable financial data repositories or databases utilizing analytical tools, operational/clinical metrics, payer reimbursement analysis

Prepare ad hoc data and analysis requests from internal and external customers

Complete quarterly state Wraparound reports for the Rural Health Clinics

Assists in the financial analyses of patient claim detail to aid the PMCN entities in revenue cycle analyses to develop insights and understand trends

Performs other duties as assigned

Qualification

Healthcare revenue cycleData analysisMicrosoft ExcelInsurance knowledgeDatabase manipulationAnalytical reporting toolsSelf-directedCernerMeditechAthenaEClinicalWorksFinThrivePower BICritical thinkingProblem solvingTime managementCommunication skillsRelationship building

Required

Bachelor's degree in health management, finance, accounting, mathematics, or related field is required

Knowledge of insurance carriers, HCPCs, CPT codes, MS-DRGs, diagnosis codes, and other healthcare related terminology

Knowledge of payor payment methodologies

Two to three years of experience of successfully applying technical and systems skills with advanced data and database manipulation skills in a health care setting

Solid working knowledge of healthcare revenue cycle functions is required

Advanced proficiency in Microsoft Office Suite applications is required especially Excel (pivot tables, advanced formula use, and presentation of data)

Ability to combine data from various sources for analyzing and reporting

Demonstrates experience using analytical reporting tools

Effective critical thinking/problem solving skills with the ability to communicate findings to others verbally and in writing

Ability to work efficiently and effectively in a fast-paced environment

Self-directed, organizes and prioritizes work and manages multiple tasks and assignments

Manages time well and performs assigned duties with attention to detail, accuracy, and follow through with minimal supervision while meeting deadlines

Ability to develop strong working relationships inside and outside the organization

Preferred

Experience working with Cerner, Meditech, Athena, eClinicalWorks, and/or FinThrive suite of tools (Contract Management, Claims Management, Denials Management, Power BI) is preferred