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Revenue Cycle Analyst II

Location: Danbury, CT, United States

Requisition ID: 50136

Salary Range: 27.91 - 51.83 HOURLY

Work Shift: Monday-Friday 8:00am - 4:30pm

FT/PT/PD: Full-Time

Exempt/Non-Exempt: Exempt

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Description

Summary:

The Revenue Cycle Analyst II, with a high degree of autonomy, will organize and coordinate denial data collection and analysis in order to ensure departmental effectiveness.

Responsibilities:

1. Supports the daily operations of the department including, working effectively with multiple levels of staff to strategically problem solve, educate, and support the needs of the department.

2. Runs and prepares reports and dashboards assisting with creating presentations for daily/weekly/monthly meetings, including but not limited to Operational and Executive Denial Committee meeting presentations.

3. Ability to build financial and statistical models, analyze data, and translate analysis into specific, targeted action to drive results for the full scope of the AR. Build, test, develop, and maintain Excel VBA macros to automate daily/weekly/monthly analysis reporting (AR: DNFB, Debit, Credit, Vendor, Self-pay etc.).

4. Meets the information, reporting, and analytic needs required to drive the departmental performance priorities. Develops and maintains revenue cycle KPI’s to foster management program accountability.

5. Utilizing all available data resources, denial root causes for short- and long-term solution planning; trends in high dollar and/or volume denials for greatest focus and impact; long-term reduction in final write-offs and net patient service revenue. From analysis, documents findings into defined templates for initial presentation and targeting of existing processes / procedures / education needs for further assessment and review.

6. Establish and maintain appropriate compliant tracking and monitoring systems to facilitate reporting: RAC, 835, adjusted, categorization, trending KPI, collectability and predictive modeling etc. for distribution to leadership.

7. Develops, maintains and utilizes software, databases and reporting tools to extract data and generate reports and dashboards in a meaningful way. Performs routine audits of data and reports; trouble-shooting issues to resolution. Participates in the development and maintenance of standard data definitions and reporting methodologies across programs.

8. Reviews and maintains all statistical reports to monitor trends and determine operational deficiencies. Recommending both remedial and prevention action plans as necessary, including policy/procedure suggestions.

9. Maintain high standards of data integrity and quality throughout the department's data collection-to-reporting pipeline; support in implementation of new methodology, tools, and processes. [Data]

10. Applies high level problem-solving skills to perform root cause analysis on denied accounts and extrapolates those causes across large volumes identified as denial trends.Utilizes sound judgment and experience to make recommendations for correcting underlying issues impacting rejections and denials. [AR Data]

11. Performs other duties as assigned.

12. Maintain and Model Nuvance Health Values.

Other Information:

• Bachelor's Degree with a minimum of 5 years job related experience.

• Knowledge of common medical terminology and insurance plan concepts

• Excellent written and verbal communication skills

• Time management skills with the ability to multi-task

• Attention to detail and problem-solving skills

• Must be able to work independently, problem solve, manage stress, and prioritize work

• Ability to form positive, relationships with hospital staff, providers, patients and families

• Adaptive spirit and growth-oriented mindset

Working Conditions:

Manual: Some manual skills/motor coord & finger dexterity

Occupational: Little or no potential for occupational risk

Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force

Physical Environment: Generally pleasant working conditions

Company: Nuvance Health

Org Unit: 1785

Department: Patient Accounting

Exempt: Yes

Salary Range: $27.91 - $51.83 Hourly

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EOE, including disability/vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.