Revenue Cycle Analyst

🕒 May 29

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Logo of Omada Health

Omada Health

201 - 500 employees

Founded 2011

⚕️ Healthcare Insurance

🧘 Wellness

☁️ SaaS

💰 $192M Series E on 2022-02

Healthcare Insurance • Wellness • SaaS

Omada Health is a virtual care company focused on helping individuals achieve their health goals through personalized support and programs. The company offers comprehensive health management solutions for conditions like diabetes, hypertension, and musculoskeletal health. Omada provides one-on-one health coaching and smart devices to monitor and improve health, creating personalized care plans for its users. Its programs are designed to be accessible at no cost to participants when covered by their employer or health plan, making Omada a leader in delivering quality virtual care that is both personal and sustainable.

📋 Description

• Assist team on a smooth end-to-end billing process • Assist with any new RCM payer implementations • Assist with communication to Omada’s clearinghouse on new connections and any claims management issues • Participate in cross-functional efforts to increase efficiency and effectiveness of RCM systems and processes • Identify and propose enhancements to workflows based on data, trends, and user feedback • Support testing, validation, and rollout of new or updated RCM processes to ensure accuracy and compliance • Work with payers to integrate with Omada’s unique billing model and educate internal stakeholders • Maintain clear, up-to-date process documentation and standard operating procedures (SOPs) for RCM workflows • Ensure all policies, procedures and initiatives are handled in a HIPAA-compliant fashion • Respond to operational questions across email, Slack, and ticketing tools • Ensure cross-functional teams have the support they need to complete requests • Investigate, document, and follow up on denials and underpayments • Investigate, document, and execute refunds • Assist with achieving team Accounts Receivable and Bad Debt Reserve goals • Perform weekly bank and claim reconciliation • Complete monthly revenue integrity checks • Complete recurring work queues on a monthly basis

🎯 Requirements

• Passion for Omada’s mission • 1 - 3 years’ experience executing revenue cycle management in a healthcare setting • Knowledge of the US healthcare system, industry terminology (e.g. CPT and ICD-10 diagnosis codes), and best practices • Advanced proficiency in Excel • Excellent written and verbal communication skills and comfort working with both technical and non-technical stakeholders • Ability to juggle both proactive scheduled tasks along with reactive escalations

🏖️ Benefits

• Competitive salary with generous annual cash bonus • Remote first work from home culture • Flexible Time Off to help you rest, recharge, and connect with loved ones • Generous parental leave • Health, dental, and vision insurance (and above market employer contributions) • 401k retirement savings plan • Lifestyle Spending Account (LSA) • Mental Health Support Solutions • ...and more!

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