ECU Health · 1 day ago
Revenue Cycle Analyst II
Greenville, NC
Full-time
Hybrid
Mid Level
3+ years expECU Health is a mission-driven academic health care system serving over 1.4 million people in North Carolina. The Revenue Cycle Analyst II will analyze revenue cycle performance, optimize processes, and work closely with management to improve financial metrics and patient satisfaction.
Hospital & Health Care
Responsibilities
Identify and communicate system issues stemming from billing, edits, rejections, and follow-up work queues with Director and Billing management
Independently conduct insightful analysis to investigate trends in write-off data to aid in the identification and prioritization of prevention initiatives
Assists in the creation of automation design documents to support business decision-making, process streamlining, automation development, and performance improvement to meet business needs
Support in the submission of complex case reviews and appealing surrounding high-priority denials such as auth, medical necessity, COB, etc
Support the development, implementation, and evaluation of existing policies and procedures
Submit optimization tickets to resolve issues, support in testing and training as necessary
Support Rev Cycle management in the preparation of data and strategic opportunities for executive-level audience
While Working with the Application Analysts, will thoroughly test and document system upgrades and software modifications
Work as a liaison with IS&T and third-party vendors to apply system functionality and upgrades, as well as testing and validation
Identify trends; provide documentation, data/reporting to Revenue Cycle Management and owning area key stakeholders, offer suggestions for process improvement, and develop countermeasures in conjunction with operational areas
Regularly tracks and analyzes data to identify, recommend, and implement opportunities to secure revenue for the organization; Analyzes and reviews third-party payer medical claims and develops and executes strategies to decrease denials system-wide
Identifies trends or patterns that impact payment optimization, and collaborates with departments to establish action plans, initiatives, and policies to reverse negative patterns
Researches and analyzes applicable regulatory, coding, and billing rules and educates departments on system application regulations and process requirements
Identifies revenue opportunities and provides appropriate investigation, follow-up, and resolution; Analyzes trends and inefficiencies in charges and recommends suitable operational improvements in an effort to prevent incorrect payments and denials
Complete monthly standard reports: Parse and share trends and data to operational areas for review on a monthly basis; attend needed follow-up calls for support in operational reviews amongst owning areas
Serves as an active team member; participates in department and company-wide initiatives; contributes to the overall culture
Maintains tracking documents and dashboards
Conduct special projects as needed
Perform other related duties as required
Qualification
Required
Bachelor's degree or higher in accounting, Finance, Mathematics, Data Science, Statistics or 5+ years of related work experience can be substituted for degree
3+ years of related experience in Revenue Cycle financial reporting in a multi-facility/practice healthcare system
2+ years of demonstrated professional experience in an Analyst role
Epic Resolute certification
Knowledge of third-party application integrations (supply chain, transcription, productivity tools, general ledger, and other revenue cycle management vendors)
Skilled in gathering and documenting user requirements, performing design/build
Testing scripts and performing ongoing maintenance and support
Skilled in supporting Epic module implementations, optimization, and troubleshooting
Advanced proficiency with Microsoft Excel, Microsoft Word, and Microsoft Access
Demonstrated time management skills and ability to handle multiple priorities with shifting time frames and meet deadlines
Strong organizational skills with the ability to work on multiple, complex projects with high quality results
Understanding of Medical terms and acronyms
Reasoning skills and ability to articulate logic behind decisions
Excellent communication skills, both written and verbal that present clear and concise information to a diverse audience
Appreciation of timeliness with resolving issues and determining priorities
Solid understanding of Epic and Epic business tools
Strong Analytical skills
Must be able to work independently and efficiently with little supervision
Strong customer service and human relations abilities
Ability to effect collaborative alliances and promote teamwork
Ability to manipulate large sets of data in multiple databases is required
Ability to make good judgments in demanding situations
Ability to react to frequent changes in duties and volume of work
Ability to recognize, evaluate, solve problems, and correct errors
Ability to identify and implement process improvements to optimize revenue cycle performance
Preferred
Additional Epic certification in Cadence and Prelude
Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and North Carolina Medicaid reimbursement methodologies
Knowledge of third-party payer reimbursement methodologies and contracts
Ability to use various computer applications is preferred including Epic
Benefits
Great Benefits
Company
ECU Health
We come to work every day in order to help you and the 1.4 million people like you across eastern North Carolina.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Brian Floyd
President and COO
Betsey Kirisits, PHR
HR Business Partner II
Company data provided by crunchbase