What are the responsibilities and job description for the Revenue Cycle Specialist position at Jewish Family & Children's Service?
Overview:
The Revenue Cycle Analyst plays a crucial role in the financial health of a business by analyzing and improving revenue cycle processes. This role is responsible for processing all AHCCCS, RBHA, Medicare, commercial insurance, and ALTCS claims following required procedures; provides all necessary follow-up including collections on outstanding claims.
Responsibilities:
- Processes all client statements, researches and follows up on client questions regarding statements.
- Posts all third-party payments, denials and adjustments; posts client payments resulting from statements.
- Researches and follows up to resolve denied claims, makes notes in the billing system to document the progress of denied claim follow-up efforts.
- Updates the billing system with changes to client insurance information and enters necessary alerts for the Operations staff on changes to insurance information and/or co-pay status of clients.
- Prepares all necessary financial reports and information for accounting department and CFO/COO.
- Communicates and coordinates effectively with internal and external contacts in a professional and timely manner to resolve billing and claims issues.
- Participates in Quality Improvement efforts.
Other Duties:
- Monitor and analyze revenue cycle metrics
- Identify trends and issues in the revenue cycle and suggest solutions
- Develop and maintain revenue cycle dashboards and reports
- Collaborate with the finance team to ensure accurate billing and collections
- Perform data analysis to identify opportunities for revenue optimization
- Assist in the design and implementation of revenue cycle procedures
- Provide support for audits and regulatory compliance efforts
- Participate in revenue cycle management meetings and provide updates
- Proven experience as a Revenue Cycle Analyst or similar role
- Strong understanding of revenue cycle management processes
- Proficiency in data analysis and financial reporting
- Ability to effectively communicate and present findings
- Knowledge of healthcare billing and collections
- Strong problem-solving abilities and attention to detail
- NextGen Certification or the ability to become certified within one year of employment
