Implementation analyst • eugene or
Oversees all functions of the Revenue Cycle process, including coding, eligibility, prior-authorization, payment posting, patient account representatives, charge entry, EDI/claim submission/claims ... Mostrar más
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Oversees all functions of the Revenue Cycle process, including coding, eligibility, prior-authorization, payment posting, patient account representatives, charge entry, EDI/claim submission/claims rejects, A/R follow up, patient statements, and external collections activities.
Plans, develops, and implements programs, projects, strategies, processes, and technology to continuously improve and manage the revenue cycle and increase profitability.
Collects, organizes, analyzes, and disseminates significant amounts of information from various data sources with attention to detail and accuracy, including timeliness.Develops and maintains department dashboards and distributes reports to the appropriate audience.
This includes departmental KPIs and reports, executive dashboards, staff productivity, and quality reports, etc.Provides data driven insights and actionable information to drive improvement, increase efficiency, and implement best practices in revenue cycle operations.
Monitors key performance indicators and escalates issues to senior management as appropriateReports on daily operational statistics as requested by leadership, key findings, insights and recommendations to respective counterparts.Analyzes data for insights into claims management, and for special prevention and denials management projects.
This includes identifying denial trends by root cause, Payor-related issues, physician trends, etc.Develops and ensures implementation of policies, guidelines, and implementation procedures; and ensures goals and objectives are properly defined and clearly established.Provides direction on the incorporation of new providers and client practices into existing patient accounts workflows, with a focus on optimizing AR collection for the groupMotivates and leads high-performing teams; attracts, recruits and retains required members as needed.
Hires and trains all revenue cycle personnel in coordinating with subordinate supervisors.
Develops staff that can analyze and recommend ongoing improvements to processes, procedures, systems and reportsDetermines and maintains appropriate staffing metrics and measurements based on client and business demands.
Works closely with leaders in the areas of Operations, Finance, Human Resources, Information Systems, and Compliance to achieve business objectives and implement organizational strategy.Develops and manages an annual budget.
Works with the CFO and company leaders to develop and implement the revenue cycle strategy.Works closely with IT department to optimize the use of technology to automate revenue cycle functionsAnalyzes and resolves problems that affect the revenue cycle, both inside and outside of the Business Office.Acts as a liaison to clinical and non-clinical departments to ensure that new initiatives and contracts are accurately implemented, monitored and followedDevelops and maintains appropriate internal controls in the Business Office and Coding departments.
Other duties as assigned.
