Revenue Cycle Analyst
Mission Neighborhood Health Center
- San Francisco, CA
- $25.00-29.00 per hour
- Permanent
- Full-time
- Reviews, modifies, and recommends changes to policies and procedures to improve Accounts Receivables Days.
- Performs ongoing trend analysis of payer rejections and denials. Supports the billing manger to perform proactive review of all recommended AR write-offs.
- Analyzes workflow and operational procedures to identify opportunities for improved reimbursement, develops and implements policies and procedures with leadership to ensure all services/charges are captured, recorded, processed, and billed in an accurate and timely manner.
- Maintain knowledge and understanding of insurance billing procedures to understand the reason for claims in HOLD and OVERPAID status to ensure resolution and timely payment.
- With the billing manager gathers and analyzes denial information and identifies commonalities among denial reasons. Based on this data, creates training presentations for clinic leadership for overall reduction in denials and/or process improvements.
- Educate and communicate revenue cycle/financial information to patients, payers, co-workers, managers, and others as necessary to ensure accurate processes.
- Assists the billing manager in training new providers and patient services staff.
- Supports billing department functions including electronic charge capture, payment posting, and accounts follow up as directed by the billing manager.
- Liaison between revenue cycle operations, IT, finance, and various MNHC departments.
- Supports the billing manager on monthly and other billing department reporting activities.
- Supports the billing manager on implementing and monitoring quality assurance programs.
Experience * 3 years healthcare revenue cycle-related experience required.
- Knowledge of health care industry, in particular an understanding of FQHC operations, including governmental payor billing, operating principles, guidelines, and bylaws.
- Knowledge of revenue cycle processes, payor billing, denials management and reporting.
- Knowledge of specialized reporting requirements and procedures in the preparation of accounting records and financial statements.
- Ability to compile and analyze data and prepare summary status reports based on the data utilizing automated systems, databases, spreadsheets, and word processing programs.
- Strong analytical and problem-solving skills.
- Exemplary communications skills (active listening, written & verbal).
- Strong revenue cycle skills.
- Excellent customer service skills.
- Ability to multi-task, prioritize appropriately.
- Ability to develop and maintain customer relationships; influence, build credibility and trust.
- Ability to think critically as well as apply critical thinking skills.
- Ability to maintain and keep abreast of all regulatory compliance and other related requirements.
- Ability to work collaboratively with a wide variety of people, patients, payers, providers, and agencies.
- Utilized EMR/EMP software, preferable NextGen or Epic.
- Proficient in navigating payer portals.
- Comply with HIPAA and HITECH regulations.
- Medical Insurance – MNHC pays 90-100% based on plan
- Dental and Vision Insurance – free to employee
- Life Insurance – free basic policy plus voluntary option
- Flexible Spending Accounts for health & dependent care expenses
- Commuter benefits for public transportation expenses
- Vacation – 2 weeks (3 weeks after 5 yrs; 4 weeks after 8 yrs)
- 12 Paid Holidays plus your birthday and 12 Sick Days each year
- 40 hours Paid Educational Leave
- 401k Retirement Savings Plan with Company Contribution