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.