Revenue Cycle Specialist Job at Planned Parenthood OSBC
Planned Parenthood of Orange and San Bernardino Counties has a
full-time opportunity for a Revenue Cycle Data Analyst in Anaheim, CA.
The Revenue Cycle Data Analyst works closely with the Vice President of Finance and Senior Director of Revenue Cycle to develop automated dashboards and nuanced business analytics to drive better business performance. This individual will work internally across functions to analyze current workflows and processes to define ways to measure performance improvement, drive increased revenue, reporting efficiencies, and cost savings.
Responsibilities:
Responsibilities:
- Diverse understanding of revenue cycle operations including credentialing, provider enrollment, billing, collections, payment/adjustment posting, credit balance/refunds, statements, bad debt write offs, collections processes and reporting.
- Provides thorough data analysis of all A/R behavior, with particular attention to billing, collections/follow/up, denials management, credit balance reconciliation to identify payer trends & patterns.
- Provides oversight and management of all clearinghouse functions and processes, including ad-hoc reporting.
- Creates and manages projects encompassing all phases of application/technology implementations.
- Works closely with Revenue Cycle Management, Operations, and Information Systems, ensuring that applications/technologies/workflows function.
- Evaluates processes and vendors to determine possible changes needed within Revenue Cycle Operations.
- Prepare monthly financial reporting packages and KPI reporting.
- Preforms financial analysis and record revenue recognition.
- Routinely review and audit clinic billing & collections to ensure timely billing and maximize collections according to insurance contracts, and proactively identify risks and problems impacting clinic cash flow.
- Review, analyze and codes clinic diagnostic and procedural information that determines appropriate insurance payments.
- Produces reports identifying billing/collections trends and implements corrective action items.
- Work closely with RCM Director to develop metrics to reduce controllable denials, write-offs and increase revenue intake.
- All other duties as assigned by Senior Director of Revenue Cycle Management and or VP of Finance.
Minimum Education:
- Bachelor’s Degree in a healthcare or business-related field required.
Minimum Work Experience:
- Minimum of 7 years’ billing and collections experience in the healthcare field.
- Proficient with electronic medical records software (eClinicalWorks), Tableau, Claim Remedy & MS Office preferred.
- Advance experience working with large data sets, multiple data sources and interpreting complex data to create meaningful information.
- Experience reading, interpreting and applying contract language to data sets.
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