Children's Hospital Colorado · 12 hours ago
Revenue Analyst
Aurora, CO
Full-time
Hybrid
Mid Level
$57K/yr - $86K/yr
3+ years expChildren's Hospital Colorado is committed to maintaining data integrity and compliance within their revenue cycle. The Revenue Analyst will analyze claim and reimbursement issues, act as a liaison between departments, and work closely with payers to enhance revenue cycle processes.
BiotechnologyFamily & CareHealthcareHospitalChildrenHealth Care
Responsibilities
Interprets insurance carrier contract payment language and EOBs. Utilizes in depth knowledge of Commercial Managed Care and state Medicaid hospital reimbursement methodologies
Utilizing data analytics to identify trends, prepare reports and provides insights to leadership on revenue cycle performance and identified gaps. Provides recommendations and coordinates with appropriate departments and/or payers to resolve
Conducts research for unpaid charges to identify and correct billing errors to recover revenue. Ensures compliance with all applicable regulatory bodies
Identifies and reports inefficient or ineffective system processes or transactions and participates in the resolution of problems
Notifies leadership of issues related to system, payer and errors/correction processes. Develops and maintains current documentation and training of system correction processes
Utilizes knowledge of ICD-10, HCPCS and revenue coding to extract and analyze hospital data
Monitors Epic work queues and other reports to identify potential inconsistencies that require system and/or data correction. Initiates corrections as needed. Develops and implements strategies to streamline workflows, improve billing accuracy, and accelerate revenue collection
Works closely with all departments. Develops and maintains effective working relationships across departments, with community providers, payers and vendors to research and resolve reimbursement and data/billing discrepancies
Monitors billing regulations, policies and procedures to ensure compliance with payer requirements. Assists with analyzing billing practices and recommends changes
Ensures compliance with regulatory requirements and facilitates financial audits related to revenue cycle management
Participates in meetings, committees and department projects as assigned
Qualification
Required
Bachelor's degree in Finance, Healthcare, Computer Science or related field
Three (3) years of experience in data analytics and/or operational analysis
Professional experience, beyond requirements, in a related field may substitute for a Bachelor's degree requirement on a year for year basis
Benefits
Competitive pay and benefits package
Base pay
Incentives
Paid time off
Medical/dental/vision insurance
Company provided life and disability insurance
Paid parental leave
403b employer match (retirement savings)
Robust wellness program
Access to professional development tools, including an education benefit to help you advance your career
Annual employee bonus program that rewards eligible team members based on organizational performance
Annual base pay increases to eligible team members based on their performance over the previous year
Company
Children's Hospital Colorado
At Children’s Hospital Colorado, we know that kids aren’t just mini adults.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$0.65MKey Investors
Hyundai Hope On WheelsCOPIC Medical FoundationCOPIC Companies
2024-08-28Grant· $0.35M
2022-09-27Grant· $0.3M
2022-03-11Grant
Leadership Team
Adam Hill
Section Head of Pediatric Palliative Medicine
Recent News
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