Revenue Cycle Analyst (On-site)

Shield California Health; California (MO); On-site; USD 41,000 - 62,000; Full time

Benefits offered by this job

Medical, Dental, and Vision

401(k) with Company Match

Sick and Vacation Days

Flexible Spending Account

Life & Disability Insurance

Education Assistance

Employee Referral Program

Job summary

Shield Healthcare seeks a Revenue Cycle Analyst for our Valencia, CA campus to analyze the medical claims billing workflow and reduce payer rejections. You will create Excel models, pull data with AS400, SQL, and Power BI, and present findings to management.

Responsibilities include collaborating across departments, improving workflows, and supporting accounts receivable. This is an on-site role with competitive benefits.

Qualifications

• Bachelor’s Degree in Business or Finance or equivalent.
• 3-5 years’ experience in an analytical role within finance, claims management, or medical billing preferred.
• Familiarity with various medical insurance payer guidelines/billing requirements is a plus.
• Proven ability to communicate results of analyses to management with great impact.
• Proficiency in Microsoft Office and advanced level of proficiency in Microsoft Excel.
• Strong analytical, organizational, and communication skills.
• Proven ability to research and solve problems.

Responsibilities

• Create advanced Microsoft Excel reports/models that highlight reimbursement results and trends.
• Gather and extract data from databases using AS400 queries, SQL queries, and Microsoft Power BI.
• Utilize trend and comparative analyses to address revenue cycle challenges, looking for ways to solve payer rejections, denials, and underpayments.
• Present quantitative and qualitative findings in a clear and concise manner.
• Collaborate with staff across the organization to solve problems and improve internal efficiencies.
• Establish positive relationships with third-party payers and clearinghouses to resolve billing issues.
• Quantify impact of new insurance payer contracts and billing requirement changes.
• Handle multiple priorities with aggressive deadlines, ensuring appropriate follow-up and closure.
• Prepare variety of ad-hoc reports and analyses as requested.
• Evaluate department processes for efficiency and accuracy.
• Share responsibility for effectively managing accounts receivable (A/R)

Skills

Analytical skills

Communication

Problem solving

Organizational skills

Education

Bachelor’s Degree in Business/Finance or equivalent

Tools

AS400 queries

SQL queries

Power BI

Microsoft Excel

Job description

Since 1957, Shield Healthcare has provided high-quality healthcare services while focusing on customer satisfaction and employee achievement. We are dedicated to fulfilling the medical supply needs of consumers and the caregiving community while maintaining a 99% overall customer satisfaction rating. Over the years, Shield HealthCare has expanded nationally with current service locations in California, Colorado, Illinois, Ohio, Texas and Washington.

Shield HealthCare is looking for a Revenue Cycle Analyst to analyze the medical claims billing process, looking for ways to solve payer rejections and denials. Requires collaboration with cross departmental teams and strong problem solving/research skills. Assists with distributing department workflow, prioritizing projects, and achieving positive financial outcomes.

This is an on-site position in Valencia, CA.

JOB RESPONSIBILITIES:

• Create advanced Microsoft Excel reports/models that highlight reimbursement results and trends
• Gather and extract data from databases using AS400 queries, SQL queries, and Microsoft Power BI
• Utilize trend and comparative analyses to address revenue cycle challenges, looking for ways to solve payer rejections, denials, and underpayments
• Present quantitative and qualitative findings in a clear and concise manner
• Collaborate with staff across the organization to solve problems and improve internal efficiencies
• Establish positive relationships with third-party payers and clearinghouses to resolve billing issues
• Quantify impact of new insurance payer contracts and billing requirement changes
• Handle multiple priorities with aggressive deadlines, ensuring appropriate follow-up and closure
• Prepare variety of ad-hoc reports and analyses as requested
• Evaluate department processes for efficiency and accuracy
• Share responsibility for effectively managing accounts receivable (A/R)

QUALIFICATIONS:

• Bachelor’s Degree in Business/Finance or equivalent work experience
• 3-5 years’ experience in an analytical role within finance, claims management, or medical billing preferred
• Familiarity with various medical insurance payer guidelines/billing requirements is a plus
• Proven ability to communicate results of analyses to management with great impact
• Proficiency in Microsoft Office and advanced level of proficiency in Microsoft Excel
• Strong analytical, organizational, and communication skills
• Proven ability to research and solve problems

PAY & BENEFITS:

• $30-45/hour
• Medical, Dental, and Vision
• 401(k) with Company Match
• Sick and Vacation Days
• Flexible Spending Account
• Life & Disability Insurance
• Education Assistance
• Employee Referral Program

Career-minded individuals will find our business challenging and our reputation for excellence just one of the rewards we have to offer. To further enhance this tradition of excellence, our employees participate in continuous training and development programs in a variety of disciplines.