Senior Revenue Cycle Analyst

🕒 il y a 11 jours

🏄 California – Distant

🏄 California – Remote

⏰ Temps Plein

🟠 Senior

🧐 Analyste

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Shriners Children's

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1922

⚕️ Assurance santé

🤝 À but non lucratif

🔬 Science

Healthcare Insurance • Non-profit • Science

Shriners Children's est une organisation à but non lucratif qui offre des soins pédiatriques spécialisés depuis plus de 100 ans. Engagés pour l'excellence, leur équipe compatissante de médecins et d'infirmières s'efforce de fournir des soins personnalisés dans diverses spécialités, y compris les soins pour les brûlures, l'orthopédie et la rééducation pédiatrique. Ils s'engagent également dans des recherches innovantes visant à améliorer les traitements médicaux et la qualité de vie globale des enfants.

Description

• 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.

🎯 Exigences

• 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)

🏖️ Avantages

• 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