Analyze revenue cycle data, create dashboards and exception reports, identify root causes of denials, model revenue, implement Epic RCM improvements, collaborate with billing/coding/finance and vendors, and present findings to stakeholders.
POSITION SUMMARY
The Senior Revenue Cycle Data Analyst plays a critical role in analyzing revenue cycle data, optimizing processes, and providing insights that drive financial performance. This position requires a blend of technical skills, business acumen, and a passion for improving healthcare operations.
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES
Data Analytics and System Support (40%)
- Analyze and interpret revenue cycle data to identify trends, discrepancies, and opportunities for improvement.
- Create exception reports, missing charge reports and other operational reports
- Uses critical and analytical thinking to perform analysis and system configuration related to support processes that include but are not limited to eligibility coding charging billing reimbursement remittances and follow up
- Develop and maintain dashboards and reports to track key performance indicators (KPIs) related to billing, collections, and accounts receivable.
- Collaborate with cross-functional teams, including billing, coding, and finance, to ensure data integrity and accuracy.
- Monitor payer performance and reimbursement trends, providing insights to support strategic decision-making.
- Assist in the development of financial models to project revenue and optimize revenue cycle performance.
- Prepare and present data findings to stakeholders, ensuring clear communication of complex information.
- Stay current with industry trends and regulatory changes that may impact revenue cycle operations.
Revenue Cycle Optimization (40%)
- Performs analysis of revenue cycle trends and identifies areas of focus to reduce denials and increase overall collections
- Executes root cause analysis for areas identified and proposes solutions to achieve overall enhancement of revenue
- Works closely with Associate Director of Revenue Cycle Optimization, VP of Revenue Cycle and Revenue Optimization and EPIC hosting organization to implement automated solutions
- Collaborates with Associate Director of Revenue Cycle Optimization, VP of Revenue Cycle and Revenue Optimization and third-party RCM vendor and health center operations to implement process changes
- Perform other related duties and tasks as required by supervisor
Revenue Cycle Liaison (20%)
- Write and distribute support-related communications to appropriate employees
- Develop and maintain procedural documentation for the maintenance and upgrade to the EPM/EMR products and related clinical technologies as required.
- Provide support to end users, troubleshoot issues and identify training opportunities
- Work collaboratively with Operations and Medical Leadership to improve front end processes to prevent rejections and denials.
CORE COMPETENCIES
- A demonstrated commitment to PPGNY’s mission related to bodily autonomy, health equity, gender and racial justice
- A demonstrated commitment to learning about and enhancing practices related to racial equity and its impact on healthcare systems.
- Strong relationship building and communication skills, including an ability to work and build trust across cultural differences related to race, age, gender, gender identity and expression, sexual orientation, religion, ethnicity, national origin or ability; and to reflect on one’s personal identity with humility.
- Ability to create and sustain an organizational culture that fosters inclusiveness and equity, and providing positive and developmental feedback and accountability related to practices including but not limited to equity.
- Strong knowledge of data and analytics to ensure good decision making, performance measurement and financial analysis.
- Ability to lead and advise cross-organization workgroups.
- Customer service and interpersonal skills and the ability to coordinate work with others, both internally and externally, to accomplish tasks.
- Strong leadership skills, including ability to identify talent, mentor existing staff, and delegate work as appropriate.
- Engages in mutual problem solving
- Facilitates continuous process improvements
- Strong time management skills, including the ability to work in a high distraction environment and to juggle multiple deliverables at one time
- Strong project management skills, identifying all steps required to meet a deliverable, key stakeholders, deliverables by other units in order to achieve goals, and barriers to success.
REQUIRED SKILLS/ABILITIES
- Strong knowledge of Epic RCM systems and related reporting tools (Slicer Dicer, Cognito, Caboodle)
- Proficiency in data analysis tools and software (e.g., SQL, Excel, and Power BI,).
- Strong analytical and problem-solving skills with a keen attention to detail.
- Excellent communication skills, with the ability to present data-driven insights to both technical and non-technical audiences.
- Knowledge of healthcare reimbursement methodologies and revenue cycle processes.
- Ability to work independently and collaboratively in a fast-paced environment.
- Strong project management skills with the ability to manage multiple priorities.
Preferred Skills:
- Experience with data modeling.
- EPIC Certification in reporting and/ or revenue cycle modules
REQUIRED QUALIFICATIONS
- Associate degree in finance, Healthcare Administration, Data Science, or a related field.
- 5+ years of experience in data analysis and EPIC, preferably in Revenue Cycle
PHYSICAL DEMANDS
Requires sitting for long periods of time. Periodic standing, walking, bending. Requires lifting of up to 15 pounds. Visual acuity sufficient to perform frequent work on a computer screen and review printed reports and other materials. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. Requires the ability to hear and to communicate orally with others.
PPGNY's benefits package includes:
Generous PTO and holiday schedule
Medical, dental and vision coverage options for you and eligible dependents
FSA, HSA, Commuter pre-tax reimbursement funds
Short- and Long-Term Disability, Free Basic Life and AD&D
401(k) Retirement Plan with Safe Harbor contributions after 1 year of employment
All positions at PPGNY require:
Proof of immunization or immunity to certain communicable diseases (including influenza during the flu season and Covid-19) and testing for tuberculosis. These certifications are required by the NYC DOHMH Health Code, NYSDOH and OSHA.
Planned Parenthood of Greater New York (PPGNY) is a leading provider, educator, and advocate of sexual and reproductive health care in New York State. PPGNY is proud to provide a wide-range of family planning services at our brick-and-mortar health centers and mobile care units. We care for everyone regardless of their immigration status, zip code or ability to pay. PPGNY’s education and outreach programs are backed by medically accurate, evidence-based information that allows people to make informed decisions about their health and future. As a voice for reproductive freedom, PPGNY supports legislation and policies that ensure all New Yorkers have access to the full range of reproductive health care and education.
At PPGNY, we provide the absolute best care to our patients and our communities through innovative health care delivery and education programming. We care for everyone who walks through our doors regardless of insurance, ability to pay or immigration status. As a leading voice for reproductive freedom, PPGNY fiercely advocates for policies to ensure that all New Yorkers will have access to the full range of reproductive health care services and information.
PPGNY is committed to diversity, equity, and inclusion. We believe we are most impactful when people with a wide range of backgrounds, experiences, and identities come together with common purpose. We encourage candidates from all backgrounds to apply.
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