We're Hiring: Revenue Cycle Systems Analyst. The Revenue Cycle Systems Specialist plays a key role in ensuring the integrity, accuracy, and performance of revenue cycle data and technology systems.
Requirements
- Serves as a subject matter expert for revenue cycle EHR systems, clearinghouse, and contracting platforms.
- Maintains and builds payor code rules, group plan processes, fee schedule alignments, and payer rate structures to ensure accurate charge capture and compliance with payer contracts.
- Collaborates with IT, Finance, and Operations to align data definitions, ensure consistent reporting, and maintain system security.
- Assists with system user training, trouble shooting, software testing and implementation, to improve system adoption and accuracy across the revenue cycle team.
- Identify opportunities for process improvement.
- Supports implementation and integration projects for new technologies or system enhancements.
- Assists with Special Projects to support process automation, data validation, and technology optimization initiatives.
- Completes system maintenance processes such as automation manager, batch service maintenance, duplicates, and voids.
- Maintains overall knowledge of State and Payer Regulations and Contract Terms.
- Partner with RCM leadership and cross-functional teams.
- Monitors and adheres to all compliance standards.
- Abides by the Bancroft Code of Ethics, Mission Statement, and Vision Statement in promoting ethical behavior, establishing relationships and providing guidance in decision-making situations.
- Performs other duties as assigned or as necessary.
- Remain flexible and adaptable in work schedules and work assignments as defined by departmental needs.
- Remains current with required training certifications, meet state-regulated licensing and regulatory accreditations, and adhere to mandatory requirements.
- Maintains effective verbal and written communications with colleagues, those served, and their family members and/or guardians when applicable.
- Maintains a safe and respectful environment, free of abuse, neglect, or exploitation; and does not allow weapons, threats, bullying, or intimidation.
- Reports any violations to the appropriate individual as soon as the incident occurs.
- Demonstrates Bancroft’s Core Values (Accountable, Results-Driven, Respectful, Innovative) in the performance of position responsibilities.
