Financial Analyst – Revenue Cycle (RCM)

Responsibilities

• Assess productivity and effectiveness of third party revenue cycle vendors and provide actionable insights on critical deficiencies and areas of improvement.
• Collaborate with CBO and billing teams to develop monthly revenue reporting.
• Model and track impact of payor contracts; model and track impact of charge master updates; create recommendations and provide insight into potential changes.
• Analyze variances to compare actual to expected reimbursement, and benchmarking.
• Help update and maintain various fee schedules and reimbursement models for Medicare and commercial insurance payers.
• Complete financial reporting and analysis related to reimbursement, service line profitability, and patient level reporting.
• Absorb and assist with annual budget and monthly forecasting and closing process.
• Prepare, interpret and analyze financial data, business metrics, and report on KPI.
• Gather operational and workflow requirements to document, implement and monitor workflow processes.
• Able to understand operational business processes and build technology and reports to track key performance indicators, model changes in key variables and analysis that impact on revenue.
• Prepare financial and statistical reports and monitor trends and variances.
• Manage and manipulate data as required to maintain financial models.
• Reviews and understands fluctuations across the organization delivering cost of care and variations in cost of care. Differentiates impact of rate versus utilization variations.
• Analyze data for reasonableness and integrity.
• Create dashboards with RCM, operations, clinical and financial reporting.
• Complete special projects and provide support as requested.

Job Qualifications

• Education: Bachelor’s degree in Accounting, Finance, Mathematics, Data Science, Statistics – Masters Preferred
• Experience: 3 Years financial planning and analysis, Revenue Cycle, Reimbursement, Cost analysis in a multi-facility healthcare system (hospital, freestanding ER or healthcare related field)
• Experience with relational databases and knowledge of query tools and statistical software is required.
• Experience in hospital/physician billing for in and out-of-network facilities, and strong knowledge of Medicare preferred.
• Ability to manipulate large sets of data in multiple databases is required.
• Ability to utilize Microsoft Excel and Power BI on a routine basis and will need to be an advanced user of these products.
• Have working knowledge of GoRev, Collaborate MD, NexGen, Centricity, Evident, is a plus.
• Able to collaborate across all business functions
• Excellent verbal and written communication
• Problem solving
• Time management
• Detail and Organizational skills
• Strong Analytical skills
• Able to multi-task and meet deliverables timely
• Understanding of Medical terms and acronyms
• Knowledge of State, Medicare, and other external regulatory and accreditation agencies.
• Reasoning skills and ability to articulate logic behind decisions
• Advanced Microsoft Excel, Power BI
• Work under minimum supervision
• Flexible work schedule

Supplemental pay types

• Bonus pay: Discretionary, Up to 25% of Base Pay