System Revenue Cycle Analyst

Penn Highlands Healthcare

  • DuBois, PA
  • Permanent
  • Full-time
  • 9 days ago
Job Description:Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider.Summary:Revenue Cycle Analyst Business Intelligence Supporting 5+ Billing System Domains, Financial Domains, BI Domains expertise in business intelligence (BI) plays a crucial role in optimizing a healthcare organization's financial performance. These professionals combine their knowledge of the healthcare revenue cycle with data analysis skills to identify trends, pinpoint areas for improvement, and implement strategies that increase revenue and enhance efficiency. Key responsibilities Analyzing revenue cycle data: Revenue Cycle Analysts extract and analyze data from various sources (EHRs, billing systems) to identify trends, patterns, and variances in revenue cycle performance. This includes monitoring key performance indicators (KPIs) like claim denial rates, collection rates, and days in accounts receivable. Identifying opportunities for improvement: Through data analysis, they identify inefficiencies and bottlenecks within the revenue cycle, such as areas causing claim denials, delayed payments, or underpayments. Developing and implementing solutions: Based on their analysis, they recommend and implement strategies to address identified issues, streamline processes, and improve billing and coding accuracy. This might involve improving coding, revising documentation practices, or implementing new technologies.Creating reports and dashboards: They develop and maintain reports and dashboards that track KPIs and provide insights into revenue cycle performance. These tools enable real-time monitoring and allow organizations to respond quickly to trends.Collaborating with stakeholders: Revenue Cycle Analysts work closely with various teams, including finance, operations, and IT, to gather business requirements, design solutions, and ensure successful implementation of changes. They also communicate findings and recommendations to leadership and other stakeholders.Staying abreast of industry trends: They monitor changes in regulations, reimbursement models, and industry best practices to ensure the organization's revenue cycle strategies remain current and compliant.Essential skills and qualifications:Data analysis and interpretation: Proficiency in analyzing and interpreting complex datasets, using statistical tools and techniques to identify trends and patterns.Technical proficiency: Expertise in BI tools like Tableau or Power BI, database technologies, data warehousing, and SQL for querying databases. Familiarity with programming languages like Python or R may also be beneficial.Business acumen and industry knowledge: A deep understanding of healthcare revenue cycle operations, including registration, charging, billing, collections, and denials management processes.Communication and data visualization: The ability to effectively communicate data insights to various stakeholders, both verbally and through clear and intuitive data visualizations and dashboards.Problem-solving and critical thinking: The ability to identify issues within data sets and propose innovative solutions.Other information:QUALIFICATIONS:-Bachelor’s degree in business, Finance, Healthcare or Accounting
-Minimum three (3) years of related analytical experience; Proficient with SAS and SQL programming skills, Microsoft Excel Pivot tables, Data Analysis Pack tool and solver, other Microsoft applications; medical terminology; Detail oriented thinking and analytical skills;
-Previous Revenue Cycle experience as a biller, collector, Revenue Integrity or Coder; one (1) year Cerner experience preferredWHAT WE OFFER:
  • Competitive Compensation
  • Shift Differentials
  • Tuition Reimbursement
  • Professional Development
  • Supportive and Experienced Peers
BENEFITS:
  • Medical, Dental, and Vision offered after completion of introductory period
  • Paid Time Off
  • 403(b) retirement plan with company match
  • Company Paid Short & Long Term disability coverage
  • Company Paid and Voluntary Life Insurance
  • Flex Spending Account
  • Employee Assistance Program (EAP)
  • Health & Wellness Programs

Penn Highlands Healthcare