Revenue Cycle Analyst I

The Revenue Cycle Analyst I will work internally across all Revenue Cycle functions to audit and analyze workflows and processes to maintain integrity of established best practices.

Essential Job Functions:

• Perform internal audits of Revenue Cycle processes and staff. Providing feedback to appropriate leadership.
• Assist with external payor audits. Monitor performance, communicate with payor representatives and internal departments for rapid correction of findings.
• Resolving denials through escalation and appeals.
• Resolve contract underpayments.
• Assess accounts for placement with DMHC or other state insurance board as needed.
• Review out of network reimbursement for post discharge settlements and underpayment appeals.
• Resolve escalated accounts from Business Office.
• Work with contracting department to review and resolve systemic payor issues.
• Review Revenue Cycle metrics. Implementing and monitoring improvement plans with applicable departments as needed.
• Provides analysis of all A/R to identify payer trends and patterns.
• Assist in identifying areas of opportunity to ensure achievement of established financial and operational objectives. Communicate and e...