Senior Data Revenue Optimization Analyst

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October 22

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Planned Parenthood Federation of America

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Non-profit • Healthcare Insurance • Social Impact

Planned Parenthood Federation of America (PPFA) is a nonprofit organization dedicated to protecting and expanding access to sexual and reproductive health care and education across the United States. It operates health centers and provides services such as STD testing, birth control, abortion, emergency contraception, and cancer screenings. PPFA also offers online resources and tools to help individuals make informed decisions about their sexual health. As a 501(c)(3) tax-exempt organization, it relies on donations to support its mission and works to advocate for reproductive rights and health education for people of all genders.

501 - 1000 employees

Founded 1916

🤝 Non-profit

⚕️ Healthcare Insurance

🌍 Social Impact

📋 Description

• Analyze and interpret revenue cycle data to identify trends, discrepancies, and opportunities for improvement. • Create exception reports, missing charge reports and other operational reports. • Uses critical and analytical thinking to perform analysis and system configuration related to support processes that include but are not limited to eligibility coding charging billing reimbursement remittances and follow up. • Develop and maintain dashboards and reports to track key performance indicators (KPIs) related to billing, collections, and accounts receivable. • Collaborate with cross-functional teams, including billing, coding, and finance, to ensure data integrity and accuracy. • Monitor payer performance and reimbursement trends, providing insights to support strategic decision-making. • Assist in the development of financial models to project revenue and optimize revenue cycle performance. • Prepare and present data findings to stakeholders, ensuring clear communication of complex information. • Stay current with industry trends and regulatory changes that may impact revenue cycle operations. • Performs analysis of revenue cycle trends and identifies areas of focus to reduce denials and increase overall collections. • Executes root cause analysis for areas identified and proposes solutions to achieve overall enhancement of revenue. • Works closely with Associate Director of Revenue Cycle Optimization, VP of Revenue Cycle and Revenue Optimization and EPIC hosting organization to implement automated solutions. • Collaborates with Associate Director of Revenue Cycle Optimization, VP of Revenue Cycle and Revenue Optimization and third-party RCM vendor and health center operations to implement process changes. • Write and distribute support-related communications to appropriate employees. • Develop and maintain procedural documentation for the maintenance and upgrade to the EPM/EMR products and related clinical technologies as required. • Provide support to end users, troubleshoot issues and identify training opportunities. • Work collaboratively with Operations and Medical Leadership to improve front end processes to prevent rejections and denials.

🎯 Requirements

• Bachelor’s degree in finance, Healthcare Administration, Data Science, or a related field. • 5+ years of experience in data analysis and EPIC, preferably within the healthcare or revenue cycle domain. • Strong knowledge of Epic RCM systems and related reporting tools (Slicer Dicer, Cognito, Caboodle) • Proficiency in data analysis tools and software (e.g., SQL, Excel, and Power BI) • Strong analytical and problem-solving skills with a keen attention to detail. • Excellent communication skills, with the ability to present data-driven insights to both technical and non-technical audiences. • Knowledge of healthcare reimbursement methodologies and revenue cycle processes. • Ability to work independently and collaboratively in a fast-paced environment. • Strong project management skills with the ability to manage multiple priorities. • Preferred: Experience with data analysis and data modeling. • EPIC Certification in reporting and/or revenue cycle modules

🏖️ Benefits

• Generous PTO and holiday schedule • Medical, dental and vision coverage options for you and eligible dependents • FSA, HSA, Commuter pre-tax reimbursement funds • Short- and Long-Term Disability, Free Basic Life and AD&D • 401(k) Retirement Plan with Safe Harbor contributions after 1 year of employment