Rev Cycle Performance Analyst

About the role

As a Revenue Cycle Performance Analyst, you will join a dedicated team of professionals who deliver quality, value, and access in 21st-century healthcare. You will serve as an industry expert, identifying best revenue cycle practices in RadNet client/partner locations. This position reports to the Performance Analytics Manager and is part of a small, fast-paced team tackling analytically focused projects to improve revenue cycle performance. Your work will directly impact the company’s growth and our ability to provide a better patient experience.

Responsibilities

• Interpret basic revenue cycle and financial data.
• Maintain databases and templates, ensuring data integrity through monitoring and auditing outputs.
• Collect and assist in the analysis of qualitative and quantitative data reports extracted from various systems.
• Incorporate results of statistical and qualitative analyses using Microsoft Excel, Word, Access, and PowerPoint.
• Proactively analyze data to identify and resolve potential issues that could adversely affect revenue cycle performance.
• Apply concepts and tools of healthcare economics to enhance understanding of utilization, quality, and performance patterns across healthcare networks.
• Collaborate with management staff to provide rigorous analysis in support of RadNet revenue cycle operational objectives.
• Prepare reports to evaluate and interpret data, monitor performance, identify trends, and determine root causes of issues; update action plans to remedy issues.
• Develop financial and statistical reporting for analysis, tracking, and trending of revenue cycle operation activities.

Requirements

• Bachelor’s degree in Accounting, Business, Finance, Healthcare Administration, Computer Science, or an equivalent combination of education and work-related experience.
• Effective at working both at a detailed data level and a strategic thinking level.
• Minimum 3 years’ experience with medical claim business system software.
• Minimum 3 years’ experience in the health insurer industry, with business knowledge of benefits, claim systems, and adjudication principles.
• Minimum 3 years of experience with medical and/or benefit policies, provider contracts, employer plan designs, professional and facility claim processing, and medical terminology and industry-standard code sets (CPT-4, ICD-9-CM, ICD-10, etc.).
• Minimum 3 years’ experience managing multiple assignments, independently determining solutions, and anticipating/preventing potential problems.
• Minimum 3 years’ experience in Microsoft Excel and extensive use of data query logic.
• Expertise in EDI transaction exposure, including 270/271 (healthcare benefits and eligibility), 276/277 (claims status), 278 (healthcare service information), 837 (claim submissions), 835 (payments), 834 (benefit enrollment), and 820 (premium payments).

Skills

• Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors.
• Demonstrates initiative, personal awareness, professionalism, and integrity while exercising confidentiality in all areas of performance.
• Adheres to all local, state, and federal laws concerning employment, including I-9, harassment, EEOC, civil rights, and ADA.
• Follows OSHA regulations, RadNet and site protocols, policies, and procedures.