Revenue Cycle Analyst
Company: Shield HealthCare
Location: Valencia
Posted on: March 20, 2023
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Job Description:
Since 1957, Shield Healthcare has provided high-quality
healthcare services while focusing on customer satisfaction and
employee achievement. We are dedicated to fulfilling the medical
supply needs of consumers and the caregiving community while
maintaining a 99% overall customer satisfaction rating. Over the
years, Shield HealthCare has expanded nationally with current
service locations in California, Colorado, Illinois, Ohio, Texas
and Washington. Shield HealthCare is looking for a Revenue Cycle
Analyst to analyze the medical claims billing process, looking for
ways to solve payer rejections and denials. Requires collaboration
with cross departmental teams and strong problem solving/research
skills. Assists with distributing department workflow, prioritizing
projects, and achieving positive financial outcomes. JOB
RESPONSIBILITIES:Create advanced Microsoft Excel reports/models
that highlight reimbursement results and trendsGather and extract
data from databases using AS400 queries, SQL queries, and Microsoft
Power BIUtilize trend and comparative analyses to address revenue
cycle challenges, looking for ways to solve payer rejections,
denials, and underpaymentsPresent quantitative and qualitative
findings in a clear and concise mannerCollaborate with staff across
the organization to solve problems and improve internal
efficienciesEstablish positive relationships with third-party
payers and clearinghouses to resolve billing issues Quantify impact
of new insurance payer contracts and billing requirement
changesHandle multiple priorities with aggressive deadlines,
ensuring appropriate follow-up and closurePrepare variety of ad-hoc
reports and analyses as requestedEvaluate department processes for
efficiency and accuracyShare responsibility for effectively
managing accounts receivable (A/R)May be required to supervise a
team of claims adjudicators/billing specialists, holding them
accountable to achieve positive financial
outcomesQUALIFICATIONS:Bachelor's Degree in Business/Finance or
equivalent work experience3-5 years' experience in an analytical
role within finance, claims management, or medical billing
preferredFamiliarity with various medical insurance payer
guidelines/billing requirements is a plusProven ability to
communicate results of analyses to management with great
impactProficiency in Microsoft Office and advanced level of
proficiency in Microsoft ExcelStrong analytical, organizational,
and communication skillsProven ability to research and solve
problemsPAY & BENEFITS:$25-40/hourMedical, Dental, and Vision401(k)
with Company Match Sick and Vacation Days Flexible Spending Account
Life & Disability Insurance Education AssistanceEmployee Referral
Program Career-minded individuals will find our business
challenging and our reputation for excellence just one of the
rewards we have to offer. To further enhance this tradition of
excellence, our employees participate in continuous training and
development programs in a variety of disciplines. PI208473661
Keywords: Shield HealthCare, Los Angeles , Revenue Cycle Analyst, Professions , Valencia, California
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