Accounting - Healthcare Revenue Analyst

Summit Medical Group; United States; On-site; USD 66,000 - 85,000; Full time

Job summary

An established industry player is seeking a Revenue Cycle Accounting Analyst to enhance their financial operations. In this vital role, you will analyze and optimize the revenue cycle from patient registration to payment collection, ensuring accurate billing and compliance. Your expertise in medical coding and revenue cycle management will be essential in identifying trends and implementing process improvements. Join a compassionate community dedicated to reshaping healthcare through innovative practices and integrated care solutions. This position offers a competitive salary and a comprehensive benefits package, making it an exciting opportunity for those looking to make a meaningful impact.

Benefits

Health Insurance

Dental Insurance

Life Insurance

401k Plan

Disability Coverage

Vision Coverage

Qualifications

• Strong analytical skills with proficiency in data manipulation.
• Expertise in medical coding and billing guidelines.
• Knowledge of healthcare revenue cycle management practices.

Responsibilities

• Analyze financial data related to patient demographics and billing.
• Generate reports on revenue cycle metrics to track performance.
• Collaborate with payers to address billing issues and negotiate contracts.

Skills

Analytical Skills

Medical Coding (CPT, ICD-10, HCPCS)

Healthcare Revenue Cycle Management

Communication Skills

Data Analysis Tools

Education

Bachelor's degree in Healthcare Administration

3 years experience in Revenue Cycle

Certified Professional Coder (CPC)

Tools

Healthcare Billing Systems

Data Analysis Tools

Job description

About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians .

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all.We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

We are hiring for a Revenue Cycle Accounting Analyst responsible for analyzing and reviewing a company's entire revenue cycle, from patient registration to payment collection, by examining financial data to identify trends, areas for improvement, and potential issues to ensure accurate and timely billing and revenue capture, often working within healthcare settings and adhering to compliance regulations.

Key responsibilities:

• Data Analysis:

Analyze detailed financial data related to patient demographics, insurance verification, coding, billing, and payment collection to identify trends, variances, and potential issues impacting revenue.

• Reporting:

Generate comprehensive reports on key revenue cycle metrics such as days sales outstanding (DSO), denial rates, clean claim rates, and collection efficiency to track performance and identify areas for improvement.

• Billing Accuracy:

Review patient billing for accuracy, including correct coding, charge capture, and insurance billing compliance to minimize claim denials.

• Claim Denial Management:

Investigate claim denials, identify root causes, and work with relevant departments to implement corrective actions to reduce denial rates.

• Payer Relations:

Collaborate with payers to address billing issues, negotiate contracts, and ensure timely claim adjudication.

• Process Improvement:

Identify opportunities to streamline revenue cycle processes, such as patient registration, insurance verification, coding, and billing to improve efficiency and reduce administrative costs.

• Compliance Monitoring:

Ensure adherence to all relevant healthcare regulations and coding guidelines related to billing practices.

• Collaboration:

Work closely with other departments within the revenue cycle, including patient registration, coding, billing, and collections, to identify and address issues impacting revenue.

Required Skills:

• Strong analytical skills with proficiency in data manipulation and interpretation
• Expertise in medical coding (CPT, ICD-10, HCPCS) and billing guidelines
• Knowledge of healthcare revenue cycle management practices and industry standards
• Excellent communication and problem-solving skills to collaborate with various stakeholders
• Proficiency with healthcare billing systems and data analysis tools

Education and Experience:

• Bachelor's degree in healthcare administration, accounting, finance, or related field
• 3 years experience with Revenue Cycle background
• Relevant experience in healthcare revenue cycle management, preferably with experience in a hospital or large healthcare provider setting
• Certified Professional Coder (CPC) or other relevant healthcare coding certifications may be preferred

This is an exempt position. The base compensation range for this role is $66,000 - 85,000. At VillageMD, compensation is based on several factors including but not limited to education, work experience, certifications, location, etc. The selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan

About Our Commitment Total Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Companyprovides equal employment opportunities ( EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Safety Disclaimer

OurCompanycares about the safety of our employees and applicants.Our Companydoes not use chat rooms for job searches or communications.Our Companywill never request personal information via informal chat platforms or unsecure email.Our Companywill never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at selectOur Companylocations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/ .