What are the responsibilities and job description for the Revenue Cycle Analyst position at Old Colony Elder Services (OCES)?
OCES is growing! We are expanding to 11 more towns covering the south
shore area, including Quincy, Braintree, Weymouth, etc. APPLY NOW during
this exciting time! OCES supports older adults and individuals with
disabilities by providing vital information and coordination of
services. By promoting healthy, safe living for our consumers, we hope
to allow them to stay active and engaged in their lives and in their own
communities for as long as possible. Our mission: Through the talents of
an experienced and diverse workforce, OCES supports the independence and
dignity of older adults and individuals with disabilities by providing
essential information and services that promote healthy, safe living
which positively impacts our community. We are seeking a Revenue Cycle
Analyst to ensure the transactional integrity and precision of the
organization\'s revenue streams by executing advanced claims analysis,
resolving complex billing discrepancies, and optimizing private pay and
managed care payment captures. What you\'ll do: Steward the granular
validation, coding accuracy, and submission lifecycle of complex billing
streams to ensure technical compliance. Execute forensic, deep-dive
audits of unpaid, partial, or rejected claims to isolate technical
errors, coordinating immediate corrective action to capture lost
revenue. Manage technical dispute resolution by functioning as the
primary operational link between Senior Care Options (SCO) and One Care
plans (OCP), and internal stakeholders. Optimize the mechanisms for
tracking, invoicing, and capturing SCO and OCP fee balances, mitigating
bad-debt risk through systematic and empathetic follow-up Continuously
audit electronic data interchange (EDI) logs and member demographic
flows to proactively eliminate recursive matching errors between billing
networks Other duties as needed. Key Performance Indicators: KPI:
Percentage of claims successfully passed and adjudicated on the initial
submission pass. KPI: Average number of business days taken to
successfully resolve a flagged claim discrepancy or dispute. KPI: Days
Sales Outstanding (DSO) minimization across SCO and OCP. What you\'ll
bring: Strong analytical and critical thinking skills Excellent
Organizational Skills And Attention To Detail Experience With Federal
and state contracts Proficient with Microsoft 365 and related software A
minimum of Five years of experience What you\'ll get: The ability to
work with an enthusiastic team of like-minded individuals. Opportunity
to develop professionally in your chosen career. Great work/life
balance: 35-hour work week with some flexibility; standard M-F work
week; hybrid work environment
shore area, including Quincy, Braintree, Weymouth, etc. APPLY NOW during
this exciting time! OCES supports older adults and individuals with
disabilities by providing vital information and coordination of
services. By promoting healthy, safe living for our consumers, we hope
to allow them to stay active and engaged in their lives and in their own
communities for as long as possible. Our mission: Through the talents of
an experienced and diverse workforce, OCES supports the independence and
dignity of older adults and individuals with disabilities by providing
essential information and services that promote healthy, safe living
which positively impacts our community. We are seeking a Revenue Cycle
Analyst to ensure the transactional integrity and precision of the
organization\'s revenue streams by executing advanced claims analysis,
resolving complex billing discrepancies, and optimizing private pay and
managed care payment captures. What you\'ll do: Steward the granular
validation, coding accuracy, and submission lifecycle of complex billing
streams to ensure technical compliance. Execute forensic, deep-dive
audits of unpaid, partial, or rejected claims to isolate technical
errors, coordinating immediate corrective action to capture lost
revenue. Manage technical dispute resolution by functioning as the
primary operational link between Senior Care Options (SCO) and One Care
plans (OCP), and internal stakeholders. Optimize the mechanisms for
tracking, invoicing, and capturing SCO and OCP fee balances, mitigating
bad-debt risk through systematic and empathetic follow-up Continuously
audit electronic data interchange (EDI) logs and member demographic
flows to proactively eliminate recursive matching errors between billing
networks Other duties as needed. Key Performance Indicators: KPI:
Percentage of claims successfully passed and adjudicated on the initial
submission pass. KPI: Average number of business days taken to
successfully resolve a flagged claim discrepancy or dispute. KPI: Days
Sales Outstanding (DSO) minimization across SCO and OCP. What you\'ll
bring: Strong analytical and critical thinking skills Excellent
Organizational Skills And Attention To Detail Experience With Federal
and state contracts Proficient with Microsoft 365 and related software A
minimum of Five years of experience What you\'ll get: The ability to
work with an enthusiastic team of like-minded individuals. Opportunity
to develop professionally in your chosen career. Great work/life
balance: 35-hour work week with some flexibility; standard M-F work
week; hybrid work environment