We work hard to make Acclara a great place to work. Our people are our greatest assets, and we encourage employees to grow and develop, assuming greater responsibilities and leadership roles.

JOB SUMMARY
The Revenue Cycle Analyst is an opportunity for a high-performing self-starting professional who can communicate, analyze and present AR payer trends and projects to our payers and clients. The revenue cycle analyst will participate in daily operations and work collaboratively with the payers and our clients. The revenue cycle analyst core duties include direct communication with the payers and our client for all payer projects relating to Accounts Receivable. This is suited for an individual who is proficient in planning, coordinating, communicating with clients and providers and the ability to work effectively under pressure are some of the critical success factors. This role reports to the Operations Manager/Director.

REPSONSIBLITIES FOR REVENUE CYCLE ANALYST (Healthcare-RCM)

The Revenue Cycle Analyst analyzes the receivable, reporting changes and fluctuations in all cycles of the AR. The individual is responsible for publishing and presenting the findings to our payers and clients.

Plan the Project

• Manage the implementation of revenue cycle projects to communicate and resolve payer issues that directly impact the AR. Develop and maintain schedule for project completion that effectively allocates the resources to the activities review and revise schedule as required
• Manage the customer and internal resources and expectations to drive toward project milestone and overall project execution
• Manage the objectives and measures upon which the project will be evaluated at its completion

Develop the Process

• Develop reports to document process improvement process
• Responsible for targeting completion of process improvement projects within a specified time frame while achieving a cost reduction goal
• Set up files to ensure that all project information is appropriately documented
• Monitor the progress of the process improvement project and adjust as necessary to ensure the successful completion
• Schedule and facilitate regular status meetings as well as facilitate information to keep teams well informed of changes, client requests within the organization and other related issues
• Establish a communication schedule to update client and carriers including appropriate staff in the organization on the progress of the project
• Assist in achieving buy-in from all decision makers for the successful application of performance excellence / performance improvement. Assist in creating team processes for optimizing results
• Assist in leading projects and provide individual contributions after key projects have been identified

Evaluate the project

• Ensure that the project deliverables are on time, and at the required level of quality
• Delivers engaging, informative, well-organized presentations
• Evaluate the outcomes of the project with the department leadership as established during the planning phase

SKILLS FOR REVENUE CYCLE ANALYST (Healthcare-RCM)

• Analyze A/R reports and financial reports identifying payer trends to report to Clients
• Ensure proper execution of client contracts to assure maximum amount of reimbursement is achieved.
• Remittance analysis providing payer trends and potential contractual allowances
• Analyze denial trends which impact the cash flow.
• Develop and deliver presentations to our clients /providers highlighting current projects and payer trends that are impacting the receivable.
• Evaluate payer trends to the System Analyst to assure the charges are set up appropriately per the contract. Report any findings to Management for resolution.
• Collaborating with the Follow-Up Team- any claim payment issues should be identified promptly and maintained on a project template (supplied by the payer) which will be sent to the insurance carrier monthly. All projects require review and approval from the Director.
• Research and resolve all on-going payer issues via appropriate contacts/parties at the insurance company. Utilization of all insurance-provided tools for greater and more efficient collection activity.
• Provide data to Authorization Management Department, as requested, to assist in disputing number of visits/units approved and date span for re-consideration and appeal. Authorization Liaison for the follow up Team to communicate with the Intake Department.
• Maintain updated knowledge of third-party requirements/guidelines. This requires knowing all updates to all payer contracts, coding, and specs
• Excellent leadership, in negotiating, influencing, conflict resolution, research, and analytics
• Professional communication and presentation skills in order to be client facing
• Customer focused, and results driven effectively collaborating with various levels throughout the company
• Strong interpersonal skills and ability to work cross-functionally with leaders on sensitive/emotional issues
• Work within ambiguous, fast-moving environment, while also driving toward clarity and resolutions
• Resourcefulness in setting priorities and guiding investment in people and systems
• Ability to work with teams/people with less or no prior experience in process improvement.
• Knowledge of basic statistics, comparative analysis. Ability to solve complex, analyze unique problems
• Resourcefulness in setting priorities and guiding investment in people and systems
• Be motivated, self-starter, organize/manage multiple tasks concurrently, perform with limited supervision
• Experience identifying user needs and developing training strategies, and related courses/materials
• Ability to communicate sensitive information tactfully and diplomatically internally and externally
• Persuasive communication skills, both oral and written, and strong interpersonal skills
• Prior experience writing complex standards for application to multiple stakeholders

REQUIREMENTS FOR REVENUE ANALYST (Healthcare-RCM)

• Bachelor’s degree in a related technical field or equivalent work experience.
• Full understanding of healthcare revenue cycle operational and billing processes, customer service, project management and training.
• Experience in insurance, collections and/or training highly preferred.

Acclara is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin.


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