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Revenue Cycle Analyst

Finance | San Francisco, CA | Full Time, Contract, and Temporary

Job Description

Revenue Cycle Analyst 796156 

Responsibilities: 

  • Analyzes complex financial data and identifies trends in revenue cycle operations. 
  • Summarizes data and presents reports to leadership.
  • Liaisons with departments to thoroughly define reporting and information requirements. 
  • Identifies data sources, develops and delivers routine and ado reports and presentations. 
  • Proposes changes or enhancements to systems to improve reporting capabilities.
  • Compiles reports and analyzes results regarding department billing performance, provider reimbursement, and/or other data pertinent to the revenue cycle. 
  • Audits data input for all components of the Professional Fee Billing revenue cycle management.
  • Perform ad hoc analyses or process improvement projects as assigned to optimize MGBS performance.
  • Evaluates revenue cycle workflows to propose improvements in efficiencies and timeliness. 
  • Collaborates with and coordinates between departments to design new workflows, in order to maximize revenues.
  • May review selected EOB information by specialty to analyze reimbursement levels from various carriers. Develops recommendations to improve reimbursement levels.
  • Aware of government regulations, reimbursement issues and other matters having a potential financial impact.
  • Represents MGBS on committees, task forces, and workgroups. 
  • Works proactively with departments across the system to assure appropriate revenue cycle practices and compliance with internal and external regulations.
  • Delivers training to Clients on revenue cycle systems, processes, and procedures. 
  • Revenue Cycle Systems training areas include registration, insurance verification, and authorization processes to mitigate insurance denials and optimize the revenue cycle.

Requirements:

  • Bachelor's degree in related area and/or equivalent experience/training.  
  • Master's degree in related area and/or equivalent experience/training.
  • 3-5 years of experience with data analysis functions/applications, industry standards, and best practices.    
  • Detail-oriented, with proven ability to effectively manage time, see tasks and projects through to completion, organize competing priorities, and effectively address complex, urgent issues as they arise.    
  • Strong communication skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. 
  • Ability to prepare compelling and informative reports and presentations.
  • Thorough understanding of the issues, processes, reporting instruments, metrics, analytics, and other tools and techniques involved with measuring and analyzing the revenue cycle.
  • Strong interpersonal skills, with the ability to collaborate effectively on complex projects in a team environment with staff from a wide variety of business and clinical areas.    
  • Proven ability to work with managers, serving as a technical resource, providing recommendations and advice on regulatory changes, and industry trends and developments in revenue cycle management.    
  • Advanced MS Access and Excel    
  • Strong skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management. 
  • Skills in a common database, spreadsheet and presentation software.    
  • Thorough knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.  
  • Strong analytical, critical thinking and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems and propose innovative solutions.

$35 per Hour        San Francisco, CA 94107          9 Month Assignment