Community Medical and Dental Care, located in Rockland County, NY, is seeking a full-time, experienced Revenue Cycle Analyst. The Revenue Cycle Analyst will provide analytic support, problem-solving, and communication with clinic departments on all matters pertaining to revenue cycle needs and key operating indicators.

Responsibilities 

Perform denials analysis to reduce controllable rejections. Perform deep-dive analysis to find solutions that can benefit multiple specialties.

• Stay abreast of group payer contracts, payer policies, payer plans, and member benefits. Conduct audits and analyses, and identify revisions and changes that impact the company. Prepares a communication plan for audit results and information discovered to CEO. Participates in developing best practices for relevant change.
• Present data, analysis, and recommendations for solutions in meetings with the CEO, and departmental management Participate in training and other in-servicing sessions for end-user education.
• Applies knowledge of coding in the use of billable CPTs, diagnosis codes, modifiers, place of service codes, and source codes to perform an in-depth analysis of root cause issues.
• Works closely with Department management to facilitate root issue remediation
• Collaborates closely with peers to develop, validate, and maintain meaningful report sets. Recommends and implements best practices
• Monitor ongoing performance of Revenue Cycle results through the use of key operating indicators (KOI). Use data to identify trends and gaps. Uses dashboards and reports to monitor and keep performance indicators of revenue cycle workflows and to ensure a holistic view of the revenue cycle.
• Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines
• Performs other duties and responsibilities as assigned by the Chief Revenue Cycle Office and Directors of the CRO.

Qualifications:

• Minimum of 4 years related experience in physician billing and third-party payer reimbursement
• Advanced skills in using excel and BI data applications to maneuver through large volumes of data.
• Strong verbal and written communication skills.
• Ability to work independently and follow through and handle multiple tasks simultaneously.
• Must be a motivated individual with a positive and exceptional work ethic.
• knowledge of health insurance billing, collections, and eligibility as it pertains to commercial, managed care, government, and self-pay reimbursement concepts and overall operational impact.
• Strong knowledge of electronic billing systems for front-end and back-end functions and the willingness to learn new systems, applications, and programs.
• Advanced proficiency in data extractions (DBMS & Data Warehouse Tools) and use of business analytic applications.
• Demonstrated advanced skills in A/R management, problem assessment, and resolution, and collaborative problem-solving in complex, interdisciplinary settings. Excellent analytical skills: attention to detail, critical thinking ability, decision-making, and research skills to analyze a question or problem and reach a solution.
• Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.

Salary/Benefits:

• Competitive compensation
• benefits package
• paid vacation/holidays

This is not a remote position

Community Medical & Dental Care, Inc., is a non-profit community health center serving the medically-underserved population of Rockland County, NY. We offer linguistically-diverse and culturally sensitive health care to our patients. Community Medical & Dental Care, Inc., has over 60 healthcare providers who offer a wide range of services including Adult Medicine, Pediatrics, Family Practice, Obstetrics/Gynecology, Dentistry/Oral Surgery, Allergy, Dermatology, Endocrinology, Nutrition Counseling, Occupational Therapy, Ophthalmology, Optometry, Podiatry, Speech Therapy, and Urology.

Community Medical and Dental Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, national origin, age, protected veteran or disability status, or genetic information.