IHCS Technologies - Revenue Cycle Analyst

Revenue Success Analyst:

This job description outlines a role responsible for overseeing a customers RCMS contract, ensuring the smooth functioning of the revenue cycle across multiple business accounts, and ensuring key performance indicators (KPIs) are met.

About the Role:

The ideal candidate should have advanced RCM knowledge, problem-solving abilities, and experience in resolving complex customer issues.

They will collaborate with teams, lead billing operations, and report monthly performance.

Responsibilities:

• Oversee a customers RCMS contract.

• Ensure the smooth functioning of the revenue cycle across multiple business accounts.

• Ensure key performance indicators (KPIs) are met.

• Collaborate with teams.

• Lead billing operations.

• Report monthly performance.

• Responsible for providing oversight of a customers RCMS contract.

• Ability to address multiple markets of business accounts.

• Ensure the revenue cycle is processing appropriately and KPIs are within expected parameters.

Knowledge & Application:

• Exhibits advanced RCM knowledge.

• Possess wide-ranging experience using in-depth professional knowledge, acumen, concepts, and company objectives to develop and resolve complex customer business requirements.

• Provides solutions to issues in creative and effective ways, understanding the interrelationships of different EHR functionality and impacts.

Complexity & Problem Solving:

• Advises on or serves as advisor on complex customer issue analysis that requires evaluation of identifiable factors.
• Devises solutions based on limited information and precedent and adapts existing approaches to resolve issues.
• Uses advanced knowledge, evaluation, judgment, and interpretation to select the right course of action.
• Assesses agency billing requirements, EDI files, and other RCM processes, seeks collaborative solutions, and prepares and presents recommendations.
• Resolves concerns with team members with minimal support from leadership to ensure a productive revenue cycle.
• Leads an identified effort of complex RCM billing and reporting requirements, seeks collaborative solutions, and prepares and presents recommendations.
• Excellent written and oral communication skills.
• Ability to think quickly and logically to ensure solutions are identified.
• Strong attention to detail and follow-through skills.

Duties and Responsibilities:

• Maintain & coordinate billing operations and support actions with other team members.

• Lead efforts in payer and industry research impacting customers businesses.

• Coordinate with team members to ensure metrics are met for contracts assigned.

• Maintain skills of Senior Billing Specialist; step in and help team members to maintain contractual KPIs.

• Monitor accounts for KPI performance and escalations.

• Creation of month-end reporting and submission to provider practices.

• Assist in process development.

• Substantial understanding of medical billing, revenue cycle, and application of knowledge and skills to oversee customer contract(s).

• Identify trends, root causes, and design solutions with minimal leadership support.

Qualifications:

• Bachelors degree and 4 to 6 years of medical billing experience.

• Excellent Excel skills.

• Ability to identify trends and design solutions independently.

Required Skills:

• Advanced RCM knowledge.

• Problem-solving abilities.

• Experience in resolving complex customer issues.

This position is based at Vadodara, Gujarat, India and requires working from the office.

Shift time: 06:30 PM IST to 03:30 AM IST.