Senior Revenue Cycle Analyst

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🔥 6 minutes ago

❄️ Minnesota, Wisconsin – Remote

❄️ Minnesota – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

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Children's Minnesota

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1924

🏥 Healthcare

🤝 Non-profit

📚 Education

Healthcare • Non-profit • Education

Children's Minnesota is a 501(c)(3) non-profit pediatric health system based in Minnesota that operates two hospitals, multiple primary care and specialty clinics, rehabilitation and specialty sites, and provides emergency, inpatient, outpatient and virtual pediatric care. The organization also runs a research institute, education and training programs for health professionals, family support services, and a charitable foundation to support patient programs and community health initiatives.

📋 Description

• Provide support to the revenue management department as a knowledge expert on revenue cycle processes and technology solutions • Participate in identifying, developing, and executing revenue cycle processes and technology solutions • Collaborate with other departments and external vendors to problem-solve and escalate revenue cycle issues • Assist with process improvements and process reviews • Implement recommended changes using Children's LEAN methodologies • Set up, maintain, and upgrade Children's revenue cycle systems

🎯 Requirements

• Bachelor's degree or Associate's degree in Healthcare Management, Information Systems, or Business Administration required • 5-8+ years experience working in revenue management within a healthcare system, insurance industry, or government organization • Past system support experience, requirements gathering, and user acceptance testing • Experience monitoring data imports, providing basic system maintenance, documenting workflows, and coordinating with vendors for maintenance and escalation • Ability to develop training documentation and provide training to end users • Ability to research patient accounts within the system and recreate outcomes • Ability to project manage system rollouts, design and test enhancements, prioritize requests, and escalate issues • Strong time management skills and ability to manage multiple priorities and a heavy workload in a high-stress atmosphere • Detail-oriented with good organizational skills and ability to be self-directed • Flexibility to perform other tasks as needed in an active work environment with changing work needs • High-level problem-solving, analytical, and investigational skills • Ability to learn quickly and meet continuous timelines • Excellent customer service through oral and written communication • Knowledge of third-party payer contract terms and reimbursement methodologies, including DRG, APR DRG, APC, EAPC, fee schedules, modifier reductions, and Minnesota and Wisconsin Medicaid • Knowledge of healthcare billing system functions, including scheduling, registration, point-of-service collection, charge capture, coding, claim submission, payment follow-up, self-pay collection, and agency placement • Knowledge of hospital and clinic billing rules, claim edits, modifiers, authorization and certification requirements, CCI edits, and Medicare MUE edits • Knowledge of HIPAA privacy standards and PCI compliance regulations • Knowledge of LEAN methodologies and process improvement techniques • Behaviors consistent with excellent service, performance improvement standards, and organizational values • Cerner, GE Centricity Business, and eClinical Works system knowledge preferred • Proficient in Microsoft Office products and Visio • No license/certification/registration required • Successful completion of an occupational health assessment, drug screen, background investigation, and U.S. Government Form I-9 employment eligibility verification

🏖️ Benefits

• Medical benefits • Dental benefits • Vision benefits • Retirement benefits • Other fringe benefits • Potential shift differentials or premium pay for night, weekend, or on-call work • Occupational health assessment, drug screen, and background investigation as part of employment offer conditions • Equal opportunity employer

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