Senior Revenue Cycle Analyst

🕒 Junho 8

🏄 California – Remoto

🏄 California – Remote

⏰ Tempo Integral

🟠 Sênior

🧐 Analista

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Shriners Children's

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1922

⚕️ Seguro de Saúde

🤝 Sem Fins Lucrativos

🔬 Ciência

Healthcare Insurance • Non-profit • Science

A Shriners Children's é uma organização sem fins lucrativos que oferece cuidados pediátricos especializados há mais de 100 anos. Com um compromisso com a excelência, sua equipe compassiva de médicos e enfermeiros foca em fornecer atendimento personalizado em várias especialidades, incluindo cuidados para queimaduras, ortopedia e reabilitação pediátrica. Eles também se envolvem em pesquisas inovadoras destinadas a melhorar os tratamentos médicos e a qualidade de vida das crianças.

Descrição

• Reports to the Revenue Cycle Manager and supports regional revenue cycle operations for California locations through advanced data analysis, denial trending, performance reporting, and targeted resolution of complex pre-bill edits. • Identifying root causes of claim barriers, quantifying financial impact, and delivering actionable insights that improve clean claim rates, reduce denials, and optimize net revenue performance. • Operating with a high degree of independence under the strategic direction of the Revenue Cycle Manager. • Partners closely with Patient Access, Practice Managers, Contact Center leadership, clinical departments, and external vendors to support data-driven process improvements and enterprise-wide denial prevention strategies. • Serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle goals. • Lead advanced analysis of denials, pre-bill edits, and payer trends to identify systemic issues and quantify financial impact. • Partner with Revenue Cycle Manager to prioritize initiatives based on risk exposure, revenue opportunity, and operational performance gaps. • Conduct comprehensive root cause analysis and lead the development and monitoring of corrective action plans to prevent recurring denials and claim edits. • Present findings and strategic recommendations to leadership, translating complex analytics into clear operational direction. • Drive data-informed process redesign and denial prevention strategies.

🎯 Requisitos

• 5 or more years of revenue cycle experience • Strong proficiency in Excel and revenue cycle reporting tools • Demonstrated ability to analyze complex datasets and translate findings into operational recommendations • Knowledge of billing, coding, payer reimbursement methodologies, and denial workflows • Bachelor's Degree or equivalent combination of education, training and experience • Epic EMR experience (preferred) • Experience with denials management (preferred)

🏖️ Benefícios

• All employees are eligible for medical coverage on their first day! • Eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. • Eligible for paid time off, life insurance, short term and long-term disability. • Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. • Tuition reimbursement • Home & auto insurance • Hospitalization • Critical illness insurance • Pet insurance