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Revenue Cycle Analyst

Company: Shield HealthCare
Location: Valencia
Posted on: March 20, 2023

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. JOB RESPONSIBILITIES:Create advanced Microsoft Excel reports/models that highlight reimbursement results and trendsGather and extract data from databases using AS400 queries, SQL queries, and Microsoft Power BIUtilize trend and comparative analyses to address revenue cycle challenges, looking for ways to solve payer rejections, denials, and underpaymentsPresent quantitative and qualitative findings in a clear and concise mannerCollaborate with staff across the organization to solve problems and improve internal efficienciesEstablish positive relationships with third-party payers and clearinghouses to resolve billing issues Quantify impact of new insurance payer contracts and billing requirement changesHandle multiple priorities with aggressive deadlines, ensuring appropriate follow-up and closurePrepare variety of ad-hoc reports and analyses as requestedEvaluate department processes for efficiency and accuracyShare responsibility for effectively managing accounts receivable (A/R)May be required to supervise a team of claims adjudicators/billing specialists, holding them accountable to achieve positive financial outcomesQUALIFICATIONS:Bachelor's Degree in Business/Finance or equivalent work experience3-5 years' experience in an analytical role within finance, claims management, or medical billing preferredFamiliarity with various medical insurance payer guidelines/billing requirements is a plusProven ability to communicate results of analyses to management with great impactProficiency in Microsoft Office and advanced level of proficiency in Microsoft ExcelStrong analytical, organizational, and communication skillsProven ability to research and solve problemsPAY & BENEFITS:$25-40/hourMedical, Dental, and Vision401(k) with Company Match Sick and Vacation Days Flexible Spending Account Life & Disability Insurance Education AssistanceEmployee 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. PI208473661

Keywords: Shield HealthCare, Santa Barbara , Revenue Cycle Analyst, Professions , Valencia, California

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