Healthcare Revenue Cycle Analyst & Forecasting

Baptist Health; Madisonville (KY); On-site; USD 65,000 - 75,000; Full time

Job summary

Baptist Health in Madisonville, KY seeks a Revenue Cycle Specialist to develop and maintain reimbursement models for hospital and physician services. The role supports managed care negotiations, revenue-cycle auditing, and denial management to forecast financial profitability.

The ideal candidate has a BS or equivalent in a related field and at least 3 years of Revenue Cycle analytics experience in healthcare, with knowledge of BI/Analytics tools.

Qualifications

• BS or equivalent degree in Finance, Management, IT, Statistics or related field.
• Experience in Revenue Cycle operations and/or Revenue Cycle analytics in a multi-dimensional healthcare environment.
• Knowledge of Revenue Cycle and BI/Analytics tools such as payment modeling, auditing and denial management.

Responsibilities

• Develop and maintain accurate reimbursement models for hospital and physician services.
• Support managed care negotiations, payment auditing and denial management.
• Forecast financial profitability based on Revenue Cycle analytics.

Skills

Revenue cycle operations

BI/Analytics tools

Payment modeling

Auditing

Denial management

Education

BS or equivalent in Finance/Management/IT/Statistics

Job description

Baptist Health in Madisonville, KY seeks a Revenue Cycle Specialist to develop and maintain reimbursement models for hospital and physician services. The role supports managed care negotiations, revenue-cycle auditing, and denial management to forecast financial profitability.

The ideal candidate has a BS or equivalent in a related field and at least 3 years of Revenue Cycle analytics experience in healthcare, with knowledge of BI/Analytics tools.