US Anesthesia Partners is a company focused on revenue cycle management, and they are seeking an RCM Business Analyst to enhance their operational effectiveness. The role involves conducting analytical studies, collaborating with users for system enhancements, and implementing process improvements to optimize revenue savings through automation.
Responsibilities:
- Supports research initiatives with the ability to pull/request reporting, decipher data, root cause analysis, and provide recommendations for improvement opportunities as it relates to RCM processes and overall financial performance
- Ability to identify and report trends, issues, concerns in current processes with providing support, feedback, and/or next steps to improve overall RCM processes and financial performance
- Completes investigative research for issues, concerns, areas of improvement etc. as identified or instructed by leadership
- Monitors, tracks, and analyzes inventory volume as well as financial data and reports related to revenue cycle, identifying areas for improvement and implementing solutions as needed
- Maintains a working knowledge of insurance carriers, payers, and processes utilized within Revenue Cycle
- Collaborates with AR leadership and other RCM Departments to optimize revenue cycle and improve the overall financial performance
- Responsible for developing departmental policies and procedures, providing guidance, support, and leadership to ensure AR team success
- Performs quality assurance audits on accounts to verify accuracy of actions taken by AR team members as needed
- Evaluates current workflows and identify inefficiencies
- Develops and implements process improvement strategies
- Standardizes documentation and operating procedures
- Assists with system upgrades, implementations, and testing
- Documents system requirements and workflow enhancements
- Supports automation initiatives
- Monitors impact of charges and measures outcomes
- Maintains OSHA and HIPAA compliance
- Maintains strictest confidentiality
- Performs other duties as assigned
Requirements:
- Bachelor's degree required (extensive experience in healthcare revenue cycle management and/or process improvement may be substituted)
- Ability to manage multiple tasks and work independently with high level of accuracy
- Excellent verbal and written communication skills
- Strong analytical and critical thinking skills
- Knowledge of anesthesia billing and reimbursement guidelines
- Ability to prioritize work and manage time well
- Strong computer skills with knowledge of Power BI, Microsoft Word, Excel and PowerPoint
- Ability to work independently with minimal supervision
- Ability to identify issues and complete root cause analysis
- Ability to brainstorm solutions and implement opportunities for efficiency
- Ability to take the lead on issues, projects, etc
- Ability to motivate diverse personalities within the department
- Flexibility and ability to access resources and accurately work inventory with assigning and/or reassigning tasks as appropriate
- Assessing inventory and workflows to make recommendations for efficiency and effectiveness
- Business analysis experience preferred
- Lead/communicate/interact with professionalism and respect
- Pleasant disposition and high tolerance level for diverse views and opinions
- Communicates issues/concerns to leadership in a timely manner