POSITION SUMMARY:
Reporting directly to the Manager, Process Improvement, the Senior Revenue Cycle Analyst is responsible for providing the enterprise revenue cycle reporting, process improvement, and analytical support at BMC and BUMG. This role encompasses the implementation and management of all reporting and process improvement initiatives and analytic tools to support data analysis and comprehensive understanding of all platforms in support of the work initiatives.
The Senior Revenue Cycle Analyst will oversee the design, implementation, and operation of all enterprise revenue cycle reporting and analytics. This role will also provide oversight to a team of managers to ensure that revenue cycle reliable metrics, reporting, and analytics are provided to BMC & BUMG customers in a timely manner, ensuring relevant information is included to aid with decision-making and process change analysis.
Drive the vision for how the technology and infrastructure should evolve to best support the evolving reporting and analytical needs within Revenue Cycle, and in support of customers. The Senior Revenue Cycle Analyst will engage with leadership within Revenue Cycle and third-party vendors to ensure that reporting and analytic resources are optimally aligned to meet specific strategic needs of the organization. The Senior Revenue Cycle Analyst will be a key contributor to the overall Revenue Cycle team and will participate in planning and organizational improvement initiatives.
Position: Senior Revenue Cycle Analyst
Department: Revenue Cycle
Schedule: Full Time, Crown Colony Plaza Quincy MA
ESSENTIAL RESPONSIBILITIES / DUTIES:
- Provides mentoring to BMC and BUMG analysts.
- Provides reporting and analytic training to BMC and BUMG staff.
- Responsible for the production and distribution of enterprise revenue cycle performance reporting; serves as a subject matter expert on data analytics.
- Performs root cause analysis for all revenue cycle areas, communicates trends, and provides process improvement recommendations.
- Serves as a member and acts as a resource to various committees including but not limited to Revenue Cycle Council & Denials Management teams.
- Implements reporting and analytic strategy to decrease cost, maximize quality, and identify opportunities for improvement within revenue cycle financials.
- Oversees, implements, and maintains processes for analyzing aging for all payers, identifying opportunities for accelerating cash and reducing AR >90 days. Identifies trends in denial and payment delay by payers.
- Oversees, implements, and maintains processes for analyzing payer denials, identifying and implementing prevention opportunities for reducing denials and increasing revenue.
- Meets regularly with all Revenue Cycle teams and facilitates communication to all team members.
- Understands the evolving business and analytics needs at BMC, BUMG, and at peer organizations.
- Keeps abreast of the latest advances in reporting and analytics across all industries and sets the vision for how the toolset at BMC and BUMG should evolve.
- Plans, manages, and oversees projects, utilizing recognized project management methodologies.
- Creates customized reports as requested by system users, and trains core users on reporting tools.
- Devises and recommends new or modified approaches to reporting to improve financial and statistical reporting.
- Takes lead on projects outside the original scope of work as needed to maintain a high-performing revenue cycle.
- Performs other duties as assigned.
Must adhere to all of BMC’s RESPECT behavioral standards.
JOB REQUIREMENTS
EDUCATION:
- Bachelor's degree in finance, business, healthcare, or related field required; master's preferred.
EXPERIENCE:
- 5 or more years of experience preferred in the areas of finance, revenue cycle management, or information systems.
- Experience within healthcare preferred.
- Strong analytic and reporting skills needed with an ability to identify and implement continuous process improvements and automation, where appropriate.
KNOWLEDGE, SKILLS & ABILITIES:
Technical:
- Demonstrated ability in Epic's SlicerDicer, Workbench, and Cubes reporting platforms.
- Demonstrated super user ability in third-party analytic applications.
- Comprehensive knowledge of accounting, finance, and business administration, and a practical knowledge of patient financial billing regulations/requirements, reimbursement, and managed care in order to understand the billing systems; review, interpret, and analyze patient financial billing reports and data; and plan, coordinate and prepare for audits.
- Comprehensive understanding of patient billing policies, procedures, and health insurance standards.
Project Management:
- Strong demonstrated project management skills, from vision through implementation. Ability to manage multiple complex projects simultaneously.
- Ability to ensure work assignments are completed in accordance with an established project timeline.
Leadership:
- Demonstrated leadership skills, with the ability to work with multi-departmental teams and peers.
- Demonstrated ability to set vision and motivate stakeholders to realize the vision.
- Solid understanding of business environment and operations.
- Strong analytical, problem-solving, and conceptual skills.
- Ability to be part of a cross-departmental and cross-functional team, and participate in the organization and execution of projects.
- Excellent oral and written communication skills.
- Ability to communicate effectively with both technical and non-technical people.
Equal Opportunity Employer/Disabled/Veterans
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