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Revenue Cycle Analyst na Qualifacts

Qualifacts · Vadodara, Índia · Onsite

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Job Description:

Revenue Success Analyst:
This job description outlines a role responsible for overseeing a customer’s RCMS contract, ensuring the smooth functioning of the revenue cycle across multiple business accounts, and ensuring key performance indicators (KPIs) are met.

About the Role:
The ideal candidate should have advanced RCM knowledge, problem-solving abilities, and experience in resolving complex customer issues. They will collaborate with teams, lead billing operations, and report monthly performance.

Responsibilities:

  • Oversee a customer’s RCMS contract

  • Ensure the smooth functioning of the revenue cycle across multiple business accounts

  • Ensure key performance indicators (KPIs) are met

  • Collaborate with teams

  • Lead billing operations

  • Report monthly performance

  • Responsible for providing oversight of a customer’s RCMS contract

  • Ability to address multiple markets of business accounts

  • Ensure the revenue cycle is processing appropriately and KPIs are within expected parameters

Knowledge & Application

  • Exhibits advanced RCM knowledge

  • Possess wide-ranging experience using in-depth professional knowledge, acumen, concepts, and company objectives to develop and resolve complex customer business requirements

  • Provides solutions to issues in creative and effective ways, understanding the interrelationships of different EHR functionality and impacts

  • Complexity & Problem Solving: Advises on or serves as advisor on complex customer issue analysis that requires evaluation of identifiable factors

  • Devises solutions based on limited information and precedent and adapts existing approaches to resolve issues

  • Uses advanced knowledge, evaluation, judgment, and interpretation to select the right course of action

  • Assesses agency billing requirements, EDI files, and other RCM processes, seeks collaborative solutions, and prepares and presents recommendations

  • Resolves concerns with team members with minimal support from leadership to ensure a productive revenue cycle

  • Leads an identified effort of complex RCM billing and reporting requirements, seeks collaborative solutions, and prepares and presents recommendations

  • Excellent written and oral communication skills

  • Ability to think quickly and logically to ensure solutions are identified

  • Strong attention to detail and follow-through skills

Duties and Responsibilities

  • Maintain & coordinate billing operations and support actions with other team members

  • Lead efforts in payer and industry research impacting customers’ businesses

  • Coordinate with team members to ensure metrics are met for contracts assigned

  • Maintain skills of Senior Billing Specialist; step in and help team members to maintain contractual KPIs

  • Monitor accounts for KPI performance and escalations

  • Creation of month-end reporting and submission to provider practices

  • Assist in process development

  • Substantial understanding of medical billing, revenue cycle, and application of knowledge and skills to oversee customer contract(s)

  • Identify trends, root causes, and design solutions with minimal leadership support

Qualifications:

  • Bachelor’s degree and 4–6 years of medical billing experience

  • Excellent Excel skills

  • Ability to identify trends and design solutions independently

Required Skills:

  • Advanced RCM knowledge

  • Problem-solving abilities

  • Experience in resolving complex customer issues

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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