Revenue Cycle Analyst at Penn Medicine

About the role

Location: 3400 Spruce Street, Philadelphia, PA

The Revenue Cycle Analyst is responsible for assessing key opportunities and assisting with implementing effective revenue cycle solutions. This position assists in efforts to improve revenue cycle initiatives by strategically planning, directing, and coordinating activities to help revenue cycle staff with their business revenue operations, and clinical documentation and technical needs through assessments and interventions. This position will perform a variety of tasks; independently leading projects, managing the resolution of HB and PB Map's related WQ issues, identifying areas of improvement and education opportunities within revenue cycle and working collaboratively as a team member.

Responsibilities

• Responsible for the daily/weekly/monthly charge reconciliations for professional services
• Act as a project lead for revenue cycle/operational improvement projects and activities at the direction or by request of Revenue Cycle Manager or Director
• Provides technical and analytical guidance and expertise; recommends through analysis, solutions of revenue cycle problems
• Follow-up with Revenue Cycle teams and the Division to ensure adherence to policies and their effect on metrics
• Assist and troubleshoot issues identified when related to revenue cycle and patient flow
• Analyzes and reports variances for a variety of Revenue Cycle functions
• Must stay current with industry standards rules and regulations affecting reimbursement and revenue cycle
• Develops and maintains excellent working relationships with DoM Clinical Documentation staff
• Assists in the development of training programs to increase knowledge of relationship between scheduling, reception, charge behavior, billing flow, and reimbursement at 1500 Market and at the practices located in the hospitals
• Analyzes reports to identify and improve AR issues
• Reports, investigates, and assists in resolution of significant revenue cycle metrics variances identified through continuous monitoring reports
• Coordinates front, middle, and back end analytics
• Monitors all charge/revenue related work queues to ensure resolution of accounts are occurring in a timely manner
• Assists in critical revenue cycle implementation projects involving completing revenue cycle assessments by reviewing current operations, conducting key interviews and reviewing the age trial balance to identify high value opportunities for improvement
• Assists in operations review and training as needed

Qualifications

Credentials: American Association of Healthcare Administrative Management

• Bachelor of Arts or Science with Education Specialization: Equivalent Experience and 5+ years Revenue cycle experience. General working knowledge/previous exposure of healthcare environments and auditing concepts, professional billing/operations
• OR H.S. Diploma/GED (Required) with Education Specialization: Equivalent Experience and 7+ years Revenue cycle experience. General working knowledge/previous exposure of healthcare environments and auditing concepts, professional billing/operations

Benefits

We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region.