Infinx Looking for Revenue Cycle Analyst at United States Full Time

Awarded straight A’s by reputable customer insights firm, KLAS Research and ranked one of top 10 end-to-end RCM software platforms by Black Book Research. At Infinx Healthcare, you will discover challenges that excite you as you develop professionally and explore different career paths based on your interests and abilities. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done.  

Breaking the mold is a vital component to what we do at Infinx Healthcare, and driving sustained value to our clients is paramount.

Position Overview: The Revenue Cycle Analyst is a crucial role within the healthcare organization, responsible for analyzing and optimizing the revenue cycle processes to maximize revenue generation, enhance operational efficiency, and ensure compliance with industry regulations. This position requires a candidate with 5-7 years of relevant experience in revenue cycle management, healthcare billing, and financial analysis.

• This Role is Remote

Key Responsibilities:

• Revenue Cycle Analysis: Conduct in-depth analysis of revenue cycle processes, including patient registration, charge capture, coding, billing, collections, and reimbursement. Identify areas of improvement and implement strategies to enhance revenue generation and reduce denials.
• Performance Metrics Tracking: Monitor and track key performance indicators (KPIs) related to revenue cycle operations, such as days in accounts receivable (AR), denial rate, clean claim rate, and cash flow. Generate reports and dashboards to present findings to management.
• Denials Management: Analyze denied claims to identify patterns and root causes. Work collaboratively with billing and coding teams to develop and implement solutions to reduce denials and improve the overall reimbursement process.
• Compliance and Regulation: Ensure compliance with industry regulations, payer policies, and government guidelines related to revenue cycle management. Stay up-to-date with changes in regulations and provide recommendations for adherence.
• Revenue Integrity: Conduct charge audits to ensure proper coding and billing practices, and perform regular reviews of coding accuracy to minimize potential billing errors and compliance risks.
• Process Improvement: Identify process inefficiencies and recommend process improvements to streamline revenue cycle operations and enhance revenue capture. Collaborate with cross-functional teams to implement best practices and standardize workflows.
• Financial Analysis: Conduct financial analyses to assess revenue cycle performance, revenue leakage, and reimbursement trends. Provide actionable insights and recommendations for revenue enhancement and cost reduction.
• Technology Utilization: Utilize revenue cycle management software and data analytics tools to extract and analyze data, enabling data-driven decision-making and process optimization.
• Training and Education: Provide training and support to revenue cycle staff, ensuring they understand best practices, compliance requirements, and the use of revenue cycle tools effectively.
• Revenue Forecasting: Collaborate with financial analysts to forecast revenue trends and support the budgeting and financial planning process.

Qualifications and Requirements:

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field.
• 5-7 years of experience in revenue cycle management, healthcare billing, or financial analysis in a healthcare setting required.
• Strong knowledge of healthcare billing processes, CPT and ICD coding, and payer reimbursement policies.
• Proficiency in using revenue cycle management software and data analytics tools.
• Excellent analytical and problem-solving skills, with the ability to interpret complex data sets and draw actionable insights.
• Understanding of healthcare compliance regulations, such as HIPAA and Medicare/Medicaid guidelines.
• Strong communication and interpersonal skills to collaborate with various stakeholders effectively.
• Detail-oriented and organized, with the ability to manage multiple projects simultaneously.
• Experience in process improvement initiatives, such as Lean or Six Sigma, is a plus.
• Relevant certifications in revenue cycle management (e.g., CRCR, CPB) are desirable but not mandatory.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Other Duties   

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.   

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