Revenue Cycle Management Analyst (REMOTE)

Job Summary:
This role is responsible for managing and optimizing the billing process to ensure accuracy, resolve discrepancies, and support revenue cycle efficiency. The position collaborates with cross-functional teams to streamline the billing workflow, ensure accurate revenue capture, and maintain compliance. A focus on revenue cycle management (RCM) ensures an improved patient experience, financial clarity, and optimized operations. The role also includes maintaining and updating work instructions (WI) and standard operating procedures (SOPs).

Key Responsibilities:

Revenue Cycle & Billing Operations:

• Manage and update billing records, including contracts, rates, and account details, within the billing systems.
• Validate payor fee schedules, identify necessary updates, and ensure accurate tracking in the price table tracking sheet.
• Conduct research and prepare templates for payor add requests to ensure billing system accuracy.
• Assess and communicate the impacts of system enhancements on billing and RCM processes.

Analysis & Reporting:

• Analyze billing and revenue cycle data to identify trends, discrepancies, and opportunities for process improvement.
• Generate regular reports for management, focusing on billing performance metrics such as volume, aging invoices, and collection rates.
• Support revenue forecasting by leveraging historical data and billing trends.
• Perform other tasks as assigned to support RCM goals.

Process Improvement:

• Identify and implement enhancements to billing and RCM processes and systems to improve accuracy and efficiency.
• Collaborate with cross-functional teams to resolve system-related issues and streamline revenue workflows.
• Develop and maintain detailed documentation of billing and RCM processes to ensure compliance with company and industry standards.
• Support system upgrades and implementations, participating in testing and user training as needed.

Department Support:

• Process and manage user access requests for payor portals and updates to the Payor Resource Matrix (PRM), ensuring requests are completed within department SLAs.
• Assist teams with the development and updating of work instructions (WI) and standard operating procedures (SOPs).

Key Qualifications:

• 2-4 years of experience in revenue cycle management (RCM), billing, accounts receivable, or financial analysis within a healthcare environment.
• Strong understanding of RCM processes and the patient journey from initial contact to final payment.
• Proficiency with billing systems such as Brightree, SAP, Oracle, or QuickBooks, and advanced skills in Microsoft Excel.
• Exceptional analytical skills with a keen eye for detail and accuracy.
• Proven ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Excellent problem-solving and communication skills, with the ability to collaborate effectively across departments.

Preferred Skills:

• Experience with large-scale enterprise billing systems (e.g., ERP systems).
• Knowledge of durable medical equipment (DME) or healthcare industry practices, particularly in RCM.
• Familiarity with Salesforce CRM.
• Experience in writing and updating work instructions (WI) and standard operating procedures (SOPs).