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General information

Job Title
RCM Optimization Analyst
Functional Area
Teammate - Revenue Cycle
City
Remote
Work Location Type
Remote
Employment Type
Full-time (30+ hrs/week)/FULLTIME

Description & Requirements

Position Description & Requirements

PRACTICE OVERVIEW

Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology. Our support team is a vital force within the practice, using their gifts and talents to improve the overall healthcare experience. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.

POSITION SUMMARY

Radiology Partners is seeking a Revenue Optimization Analyst responsible for identifying and addressing revenue cycle opportunities. This teammate will be responsible for analyzing various revenue cycle metrics/data to improve revenue for the practice. This includes but not limited to denial management and mitigation, timely filing avoidance, optimizing patient collection performance, payment reconciliation. As member of the Revenue Cycle Management Team you will be a key contributor to developing a world class analytics team.

POSITION DUTIES AND RESPONSIBILITIES

  • Design, prepare, modify, and develop selected recurring and ad-hoc revenue cycle reports.
  • Review, process, and analyze large amounts of information related to claims submission and revenue.
  • Design queries and manipulate large volumes of data to create reports to identify and interpret revenue trends.
  • Analyze detailed datasets, transforming them into meaningful financial information in preparation for revenue review.
  • Perform root cause analysis to identify revenue optimization opportunities.
  • Partner with key revenue cycle leaders to address identified opportunities.
  • Reduce avoidable exceptions to further streamline revenue.
  • Improve the collections process to collect additional dollars per procedure.
  • Communicate across teams, providing analytical overviews on key metrics.
  • Review and understand marketplace dynamics, industry trends, and the competitive landscape in the industry; analyze changes and develop strategies to ensure contract optimization; prepare and present findings to leadership.

DESIRED TECHNICAL AND PROFESSIONAL SKILLS AND EXPERIENCE

  • Bachelor’s degree with emphasis in business, healthcare, and/or accounting preferred
  • 2+ years of experience in healthcare billing, healthcare reimbursement and healthcare revenue cycle management preferred
  • 2+ years of professional experience working in an analytical role, preferably within healthcare
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
  • SQL, Tableau experience preferred
  • Strong research, problem-solving, and analytical skills; understanding of business intelligence tools
  • Strong ability to independently drive results and meet deadlines
  • Highly analytical with proven ability to extract, manipulate, and interpret data strongly preferred
  • Understanding of (or desire and ability to learn) healthcare claim data and payor contracts
  • Ability to communicate effectively with internal and external stakeholders at various cohort levels
  • Flexibility and willingness to take on new tasks and challenges
  • Must possess excellent time management and organizational skills

Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.

The salary range for this position is $60,000.00 - $70,000.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).

CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.

Radiology Partners participates in E-verify.