Revenue Cycle Analyst

JOB TITLE:                Revenue Cycle Analyst

DEPARTMENT:        Business Office

JOB SUMMARY:      Responsible for analyzing and interpreting data related to all aspects of revenue cycle including credit balances. Stay current with federal and government billing guidelines. Maintains a professional, courteous, cooperative demeanor in all communications and interactions with all individual and organizations with whom the Revenue Cycle Analyst comes into contact.

ESSENTIAL DUTIES AND RESPONSIBILITIES:       

1. Maintain and analyze Medicare Advantages Accounts Receivable
2. Maintain and analyze Worker’s Compensation Claims
3. Maintain and analyze Motor Vehicles Accident Claims
4. Maintain, analyze, and fax Medicare Quarterly Credit Balance Reports
5. Maintain and analyze Traditional Medicare, Medicare Advantage Plans, and Commercial credits
6. Assist with special projects as needed

OTHER SIGNIFICANT REQUIREMENTS:

1. Identify denial trends and underpayments
2. Pull data and reports for leadership
3. Participate in meetings and committees as needed
4. Assist Accounting Department as needed
5. Assist CEO/CFO/Directors/Managers with Special Projects as needed
6. Maintains confidentiality while working with confidential matters on a daily basis.

G.  Interfaces with hospital staff and public while maintaining a positive customer   relations atmosphere.

H. Handles external communications from customers, as necessary.

J.  Follows safety guidelines and policies for the Healthcare System.

L.  Adheres to Hamilton Healthcare System’s Behavioral Standards.

M.  Emulates the customer service expectations for Accountability, Respect, Integrity, Service, and Excellence.

N.  Maintains HIPAA compliance at all times.

O.  Abides by the Hamilton Healthcare System Personnel Policy and Employee Handbook.

P.  Performs all other duties as assigned.

JOB QUALIFICATIONS:

A.  Education: High school graduate, college preferred.

B.  Personal job-related skills:  Typing speed of 45 wpm, operation of ten-key adding machine/calculator.  Familiar with Windows system for computers, Windows Office Suite (including Word and Excel) and general computer use.

C.  Licensure, registry, or certification:  None required. 

D.  Experience:  Prefer three or more years office experience. Prefer familiarity with hospital accounting and business office functions.

E.  Physical and Mental Requirements: Duties of the position require intermittent walking, sitting, and standing.  Some bending, stooping, and reaching is required with the lifting of items up to a weight of 40 pounds.  The ability to comprehend and follow routine written or verbal instructions.