Revenue Cycle Analyst - Full Time

Sandusky, OH

Analyze data to assist revenue cycle Directors in revenue management.  Under the administrative direction of the Director of Financial Services is responsible for capturing and providing key performance indicators and other suggestions for revenue improvement. The position will support the revenue cycle objectives of NOMS, as well as the delivery of exceptional internal/external satisfaction and services.  As a subject matter expert representing the NOMS revenue cycle, the position will use his or her financial/billing knowledge to analyze best practices and make procedural and system recommendations

Duties and Responsibilities:

  • The position will review, analyze, develop and recommend changes to assist with all aspects of the revenue cycle.
  • Analyze data for specific trends by insurance payers, accounts receivable aging, payer rejections, and write offs.
  • Examines historical revenue cycle transactions and make accurate and reliable recommendations for management.
  • Ability to translate revenue trends and analysis to Revenue Cycle Team.
  • Running daily reports out of many various Healthcare Systems to assist with data analysis.
  • Perform research and analysis related to billing and reimbursement, maintain current knowledge in the billing reimbursement schedules and methodologies, payer contracts, billing and payment rules and regulations.
  • Maintain a positive work atmosphere that embodies NOMS philosophy-professional excellence, teamwork and integrity.
  • Performs other duties and tasks as assigned.

Other Job Duties and Responsibilities:

  • Comply with all HIPAA and OSHA regulations and policies.
  • The analyst will be intimately involved with Trizetto, and EMR system, providing reimbursement analysis reporting.

Knowledge and Skills Required:

  • Knowledge of NOMS policies and procedures
  • Superior knowledge/experience in full revenue cycle.
  • High level of computer proficiency in a variety of software applications, required.
  • Excellent interpersonal skills, close attention to detail and strong organizational skills.
  • Ability to maintain appropriate level of confidentiality a must.
  • Experience and documented ability in the areas of financial analysis using information from an Electronic Practice Management Systems and Electronic Health Records system.

Education and Work Experience:

  • High school graduation or GED required.
  • Associate or Bachelor degree in business, healthcare, or related field preferred.
  • A minimum of 2-4 years of billing/collection experience or healthcare with emphasis in revenue cycle, required.
  • Advanced proficiency in Excel, MS Word is required.
  • Familiarity with mapping, analyzing, and summarizing large volumes of information downloaded in PC based files is required.
  • Experience and understanding of medical coding such as CPT and HCPC’s codes is required.

Environmental/Working Conditions:

  • Primarily office setting. Minimal exposure to communicable diseases.

Physical/Mental Demands:

  • Normal office environment. May view computer screen for long periods of time. Work may be stressful at times. Interaction with others is constant and interruptive.