Senior RCM Analyst

Terros Health; Phoenix (AZ); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Multiple medical plans

401(k) with company match

4 weeks of paid time off

Wellness program

Tuition discounts

Job summary

A healthcare organization in Phoenix, AZ, is seeking a Senior Analyst in Revenue Cycle to support business intelligence initiatives. The role involves analyzing and reporting on healthcare claims performance, supporting the billing process, and developing reporting tools to enhance operational efficiency. Candidates should have strong data analysis skills and a background in healthcare revenue management. The position offers comprehensive benefits, including multiple healthcare plans and professional development opportunities.

Qualifications

• Experience in data extraction and reporting from healthcare databases.
• Strong analytical skills to evaluate performance metrics and trends.
• Ability to collaborate with internal staff to drive improvement.

Responsibilities

• Analyze and report on healthcare service delivery metrics.
• Assist in identifying trends and results from analyses.
• Build reports to monitor healthcare claims performance.

Skills

Data analysis

Dashboard building

Healthcare claims management

Trend analysis

Communication

Education

Bachelor's degree in a relevant field

Tools

Electronic Health Record systems

Job description

Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person’s health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes.

HOPE ~ HEALTH ~ HEALING

Terros Health made the list!! "Most Admired Companies of 2020, 2022 & 2023" as awarded by AZ Big Media.

The Sr. Analyst, Revenue Cycle provides business intelligence to Revenue Cycle Management and the Executive Leadership Team via data and reporting tools. This position is responsible for supporting Revenue Cycle Management operations via data extraction from Electronic Health Record database, data analysis, dashboard, and report build outs. This position will develop, design, implement, and maintain reports specific to healthcare claims submission performance, and effectiveness of healthcare revenue billing and collections. The position will analyze performance metrics, claims/billing practices, and claims accounts receivable to assist the Revenue Cycle Management Team in meeting or exceeding its goals relating to the billing and collection of healthcare service dollars. This includes the monitoring of Revenue Cycle data trends, identifying root causes and recommending work prioritization and solutions. This position reports to the Senior Director of Revenue Cycle Management.

The duties listed below are intended only as illustrations of the types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this classification.

• Analyzes and reports internally on service delivery and performance metrics in an initiative-taking and timely manner.
• Assists with identification of trends and other results of analysis with appropriate internal staff.
• Analyzes healthcare claims accounts receivables including trends, cash results, aging, bad debt and payment success.
• Assists with analyses of impact of new regulations or codes from a healthcare service code, compliance, and reimbursement perspective.
• Builds reports to monitor healthcare claims denials, reductions, rejections, and overpayments and works with Revenue Cycle Management Team to develop solutions.
• Prepares revenue cycle reports, forecasting, and performs trend analysis for leadership.
• Creates, maintains and executes ad-hoc and scheduled reporting including, but not limited to: AR aging roll forward, cash receipts lag schedule (triangle), reserve analysis, healthcare claims dashboard/claims metrics, trend analysis, Clearinghouse claims inventory, provider claims with unbilled notes in EHR; and other reports as requested or needed.
• Participate in staff meetings, training, and other activities as required.
• Performs other duties as required and special projects as assigned.

Apply with your resume at www.terroshealth.org

Benefits & Wellness

• Multiple medical plans - including a no premium plan for employees and their families
• Multiple dental plans - including orthodontia
• Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support
• 4 Weeks of paid time off in the first year
• Wellness program
• Pet Insurance
• Group life and disability insurance
• Employee Assistance Program for the Whole Family
• Personal and family mental and physical health access
• Professional growth & development - including scholarships, clinical supervision, and CEUs
• Tuition discounts with GCU and The University of Phoenix
• Working Advantage - Employee perks and discounts
  • Gym memberships
  • Car rentals
  • Flights, hotels, movies and more