Terros Health

  • Revenue Cycle Analyst

    Job Locations US-AZ-Phoenix
    Job ID
    2018-2743
    # of Openings
    1
    Category
    Billing & Reimbursements
    Program
    Billing & Collections
    Weekly Hours
    40
  • Overview

    Terros Health, Inc. is a four decade old, fully integrated community healthcare provider: With over 30 clinics throughout the Phoenix metro area, including Tucson, Flagstaff and Prescott Arizona. We have an exciting and immediate need for an experienced Revenue Cycle Analyst. As one of the state’s leading, healthcare providers: Terros Health offers great work-life-balance, and continued career progression. Each new hire is eligible to participate in our best-in-class employee benefit plan the 1st of the month following their date of hire.

    Benefits include:

    • Medical insurance: PPO Health Reimbursement, HDHP Health Savings Account, and a traditional PPO
    • Vision insurance
    • Dental and Orthodontics insurance
    • Flexible Spending Accounts
    • Accidental Death & Dismemberment insurance
    • Disability insurance
    • Paid Life insurance
    • 401K with company matching (Company matching after 6 months of employment)
    • Employee Assistance Program
    • Financial Consultation and Referrals
    • Family & Caregiving Resources and Referrals
    • Legal Consultations
    • Paid Holidays
    • Generous paid time off/Vacation time
    • Paid sick time
    • Tuition discounts through our strategic partnership
    • Employee discounts on car rental through Enterprise Rental Car

    If you've been in search of a growing organization with a forward thinking, and caring culture: Terros Health may be the company you’ve been looking for.

    Responsibilities

     

    The Revenue Cycle Analyst (RCA) provides core business intelligence to Revenue Cycle Management and the Executive Leadership Team.  The RCA is responsible for the development of reports and data sets, analyzing revenue, supporting the Revenue Cycle Management operations in data extraction, data analysis, system or software administration; and reporting and tracking. In addition, they will report on performance, expenses, and effectiveness of clinical and medical revenue billing and collections of the Revenue Cycle Management Team. The position analyzes established performance metrics, billing practices, and accounts receivable to assist the Revenue Cycle Management Team with meeting or exceeding its goals on all aspects relating to the billing and collection of services. This includes the monitoring of Revenue Cycle systems, identify root causes and recommend/design improvements.

     

    Financial Analysis

      1. Analyzes and reports internally on service delivery and performance metrics in a proactive and timely manner.
      2. Assists with identification of trends and other results of analysis with appropriate internal staff.

    Reimbursement Analysis

      1. Analyzes accounts receivables including trends, cash results, aging, bad debt and payment success.
      2. Assists with analyses of impact of new regulations or codes from a coding, compliance and reimbursement perspective.
      3. Monitors denials, reductions, rejections and overpayments and works with Revenue Cycle Management Team to develop solutions.

    EPM System Maintenance

      1. Audits configuration
      2. Performs system configuration testing in Test Database

    Monthly Reporting

      1. AR Aging rollforward
      2. Cash Receipts Triangle
      3. Reserve Analysis
        1. Contractual
        2. Denial
        3. Bad Debt
      4. Claims Dashboard/Claims Metrics
      5. Trend Analysis
      6. Claims Inventory
      7. Providers with unbilled notes
      8. Other reports as needed

    Document Maintenance and Control

      1. Maintains confidentiality of all patient demographic, medical, and financial information.
      2. Ensures proper handling and disposal of confidential documents and adherence to all HIPAA rules and regulations.
      3. Maintain Master Files that support the Revenue Cycle processes and functions.
        1. Payer Contracts
        2. Provider Manuals

     

    Qualifications

     

    Experience:

    • Experience working within an integrated healthcare system environment.
    • Working knowledge of CPT, HCPCS, and ICD-9
    • 3+ years of experience within revenue cycle/ patient access/ scheduling and registration.
    • 5+ years of relevant computer systems experience, preferably in a healthcare setting.
    • 3 years of experience providing clinical or business system support, data collection, analysis and report creation in an integrated healthcare system environment or for a major EHR vendor (e.g. Cerner, Epic, NextGen).
    • Proven skills in Microsoft Office, specifically Excel and Word, Window based applications
    • Ability to work with independently in Excel using Pivot Tables and V-Lookups

     

    Education:

    • Bachelor’s Degree in business, finance or related field.
    • An equivalent combination of related education and experience may be substituted for the educational requirement.

     

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