Sr Revenue Cycle Business Analyst

Piedmont Healthcare, Inc.; Atlanta (GA); On-site; USD 80,000 - 110,000; Full time

Job summary

Piedmont Healthcare is seeking a Sr. Analyst to oversee Revenue Cycle integrity and drive data-driven improvements in workflow processes.

The role focuses on ensuring accurate billing, timely reimbursement, and adherence to industry benchmarks across the organization. The position requires strong data analysis skills, three years of revenue cycle experience, and deep knowledge of government programs and HIPAA regulations.

Qualifications

• Bachelor's degree in Computer Science, Information Systems, Mathematics, Finance or a closely related field.
• Three (3) years of experience in physician and/or hospital billing revenue cycle.
• Advanced knowledge of third-party insurance, Medicare/Medicaid programs, HIPAA regulations.
• Familiarity with Government Programs and Revenue Cycle Systems.

Responsibilities

• Provide oversight and support for Revenue Cycle integrity and workflow processes using data analytics.
• Improve production and efficiency by analyzing key performance indicators.
• Lead projects and implement internal controls; collaborate with IT on data/interface issues.
• Aim to meet A/R performance goals and industry benchmarks.

Skills

Revenue cycle analytics

Data analysis

Billing knowledge

Education

Bachelor's degree in Computer Science, Information Systems, Mathematics, Finance or related field

Job description

Overview

At Piedmont Healthcare, you'll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.

Responsibilities

RESPONSIBLE FOR: The Sr. Analyst provides oversight and support for Revenue Cycle integrity and workflow processes using data analytics. The Sr. Analyst assures all established billing, systems, and process requirements have been met in order to ensure timely and optimal reimbursement. Through the analysis of key performance indicator data, the Sr. Analyst works to improve Revenue Cycle production and efficiency. The Sr. Analyst recommends changes that will positively impact the Revenue Cycle and help Piedmont Healthcare (PHC) operate according to industry benchmarks and meet A/R performance goals and productivity. The Sr. Analyst will improve and implement internal controls over the revenue cycle and will work closely with IT on interface and system issues as required to improve the flow of data. The Sr. Analyst may lead projects for Revenue Cycle.

Qualifications

MINIMUM EDUCATION REQUIRED:Bachelor's degree in Computer Science, Information Systems, Mathematics, Finance or a closely related field required.In lieu of degree, six (6) years of relevant work experience will be accepted in addition to the experience requirement.

MINIMUM EXPERIENCE REQUIRED:Three (3) years of experience exhibiting advanced performance in physician and/or hospital billing revenue cycle required. (If no degree, a total of nine (9) years of experience required).

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:None.

ADDITIONAL QUALIFICATIONS:Advanced knowledge of third-party insurance, and familiarity with insurance plan types; HMO, PPO, POS, and Indemnity. Excellent knowledge of Government Programs, including Medicare (CPT, ICD coding/reimbursement, and Medicare Fraud & Abuse regulations), Medicaid and Tricare Programs. Possesses thorough knowledge of HIPAA regulations. Possesses advanced knowledge of Revenue Cycle Systems. Healthcare experience in data analytics, systems performance, and/or accounting. Experience with root-cause analysis and lean processes.

Business Unit : Company Name

Piedmont Healthcare Corporate