Revenue Analyst

Billing Analyst

This position performs research, analysis, and review of billing data, for the purpose of report preparation and / or informatics, as requested by Billing Management. Works with the billing team to provide problem resolution for billing issues of any type. Acts as a liaison and operational resource to communicate ongoing billing concerns to other departments and / or functional areas of the organization, and will actively and consistently promote operational efficiencies within the reimbursements team using trend analysis and data driven logic.

Prepares financial and production reports and performs analysis as needed by management.

Supports the identification and communication of billing and reimbursement issues to Revenue Services Management. Efficiently synthesizes diverse and complicated billing information for the purpose of driving staff production, enhancing revenue, escalating trends and drawing valid and actionable conclusions.

Consults individual revenue services teams to utilize advanced technologies in order to develop, deploy and manage recurring processes aimed at reducing manual workload and freeing up resources to address higher complexity issues.

Supports the ad hoc auditing of reimbursement related financial transactions; interpretation, review, and actionable analysis of aging, cash flows, adjustments, and other accounts receivable related reporting data.

Supports the preparation and coordination of presentations, additional training, etc. for use as an educational resource or to drive efficiency initiatives within the billing department.

Collaborates with both external areas of the organization and separate areas of revenue services in an effort to actively research and resolve billing issues with a strong emphasis on root cause identification, process efficiency and revenue enhancement.

Ability to think analytically and conceptually.

Ability to clearly and efficiently communicate complex issues using strong verbal and written aptitude.

Knowledge of billing, insurance, computer systems, analytical software, and medical billing processes.

Excellent mathematical & probability skills.

Ability to prioritize and complete multiple tasks.

Advanced working knowledge of Microsoft Excel, including Visual Basic.

Basic working knowledge of Microsoft Office Suite, coding languages (i.e. Python, SQL), robotic process automation (i.e. Automation Anywhere) & data visualization (i.e. Tableau).

Bachelor's degree in related field and two (2) years of financial data analysis and financial accounting experience or equivalent education and experience.

Extensive knowledge of clinical laboratory operations.

Additional medical billing / insurance related experience.

Comprehensive knowledge of ICD-10 coding, CPT coding, HCPCS coding, modifiers, and government and commercial payer guidelines.

Advanced working knowledge of Xifin, Microsoft Access, Microsoft SQL Server, Tableau, Python, Automation Anywhere.

Thorough knowledge of HTML and relational database concepts.

Knowledge of Six Sigma and project management concepts and other analytical tools.