- Professional
- Escritório em Vadodara
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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