Revenue Cycle Analyst

In this role, your primary duty is to provide our customers with revenue cycle assessment, systemic issue identification and system/process solutions. You assess customer’s revenue cycle integrity and workflow processes to improve efficiency and achieve revenue objectives. You research systemic billing and reimbursement issues, develop approaches to resolve systemic issues, and develop non-standard reports.

Occasionally, you assist in processing and troubleshooting claims, working with hospital or medical records staff to ensure that correct diagnosis/procedures are reported, and running standard revenue cycle reports.

You will work under general direction as you develop proficiency within your discipline, conducting work of increasing complexity and contributing to team objectives and outcomes.

The Role You Play

An effective Revenue Cycle Analyst will help the organization on a whole achieve success through:

• Living our Tegria values: Respect Every Person, Act with Integrity, Strive for Better, Embrace Change, Deliver as a Team
• Participating in customer revenue cycle assessments, identifying issues or opportunities for improvement, and designing solutions
• Researching root causes of designated initiatives that prevent timely billing and reimbursement and assembling and analyzing the data and presenting the findings in a clear manner
• Working collaboratively with the customer’s Revenue Cycle departments to communicate analytical findings and assist in formulating and implementing of recommended revenue cycle improvements
• Analyzing billing data and performing trend analysis to improve billing
• Developing non-standard reports to assist in identifying trends and systemic issues
• Creating training documentation and providing software and process training to internal employees and customer staff members on the MEDITECH Accounts Receivable module and any third-party vendor clearinghouse
• Assisting in processing and troubleshooting medical claims to third-party insurance carriers either electronically or by hard copy billing
• Working with hospital or medical records staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers
• Keeping updated on all billing and benefit changes for third-party insurance carriers
• Preparing customer status reports for productivity, return on investment, and revenue and usage on a weekly or as needed basis
• Acting as Lead and subject matter expert in claims processing, collections, Medicare, Medicaid, MEDITECH, and third-party claims submission vendors
• Performing special projects or other duties as assigned
• Consulting as needed with more senior team members on work approach and work product
• Contributing to team objectives and outcomes
• Developing your skill set and increasing your proficiency in your discipline

What we’re looking for

We expect:

• Bachelor’s degree in health information management, Accounting, Math, Business or related fields; or equivalent combination of education and experience
• MEDITECH experience required
• 2+ years revenue cycle analysis or related experience
• Able to work successfully with general direction and latitude for independent judgement
• Experience mentoring less experienced team members
• Solid knowledge of third-party billing requirements and HIPAA 837/835 electronic language
• Good working knowledge of medical terminology, billing guidelines, HIPAA and compliance
• Advanced skills in Microsoft Office and proficient with computer-based accounts receivable applications
• Able to perform complex mathematical calculations for adjudication of accounts and applying complex contractual arrangements as determined by contracts negotiated within the customer contract
• Strong collaboration and problem-solving skills
• Able to analyze billing data and perform trending analysis to improve billing utilizing advanced Excel and Power Point for presentation
• Possess effective time management skills to permit handling a large workload
• Excellent time management, organizational skills and prioritizing skills to permit handling the workload
• Able to work successfully with limited supervision and with latitude for independent judgement
• Demonstrated ability to assist and mentor less experienced team members
• Able to work with team members, customers, providers and medical facility staff tactfully and effectively
• Exceptional verbal and written communication skills
• Strong attention to detail
• Strong commitment to ethical behavior and complying with laws and regulations involved in the job
• Comfortable and accountable working in a remote work environment in which video conference calls and virtual shared workspaces and tools are common
• Able to communicate tactfully and firmly with patients, providers, medical records staff and third-party insurers
• Must have a private, secure workspace available at home and access to internet with speed sufficient to perform the job
• W2 project-based consultants will be expected to provide a computing device that adheres to industry standards and security best practices to use in satisfying the Project Services on behalf of Tegria.

We’d love to see:

• Graduation from an accredited college/university with a degree/certificate in bookkeeping, Health Information management, Accounting, Math, Business or related fields; or 5 years equivalent experience
• Courses in insurance billing, data processing and medical terminology preferred

Success Criteria

People who are successful in this role…

• Maintain high standards for the quality of their own and others’ work
• Thrive under the pressure of time constraints
• Approach their work with a service mentality
• Autonomous and have excellent follow-through
• Open to feedback and a mindset to grow skills

Need a few more details?

Status: Exempt | Full-time

Eligibility: Must be legally authorized to work in the United States without sponsorship

Work Location: This position is remote. Must work in a location within the United States.

Travel: Up to 25%

Compensation: $61,000-$74,000/yr.

Benefits Eligibility: Eligible

Now, a little about us ...

At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care.

And at the very core of this vital work is our incredibly talented people.

People with different backgrounds who welcome challenge and change. People who listen first, ask hard questions, and make decisions to cultivate a culture of equity and inclusion. People who chase after goals, growth, and generosity.

Perks and benefits

Top talent deserves top rewards. We’ve carefully curated a best-in-class benefits package, meant to meet you wherever you are in your life and career.

Your health, holistically. We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.

Your financial well-being. We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.

And everything in between. Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.

Tegria is an equal employment opportunity employer and provides equal employment opportunities (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. All qualified candidates are encouraged to apply.