Revenue Cycle Operations Analyst

Role responsibilities

The role focuses on analyzing and improving front-end revenue cycle performance, specifically regarding eligibility verification and financial clearance. It involves developing KPIs, monitoring billing errors, and collaborating with leadership to reduce denial risks and improve operational efficiency.

Requirements

Requires a bachelor's degree in a related field and at least three years of experience in revenue cycle or healthcare operations. Candidates must have expertise in Medi-Cal/commercial payer requirements and proficiency with EHR platforms and advanced Excel.

Key skills

Revenue Cycle Management, Eligibility Verification, Financial Clearance, Billing Readiness, Data Analysis, KPI Development, Process Improvement, Healthcare Analytics, Microsoft Excel, EHR Systems, Payer Requirements, Root Cause Analysis, Dashboard Development, Compliance Monitoring, Cross-functional Collaboration, Reporting

Keywords

Revenue Cycle, Medi-Cal, Medi-Medi, IRIS, Avatar, Healthcare Administration, Financial Clearance, KPIs, Lean Six Sigma, CRCR, CHAA, HFMA, Behavioral Health, Business Intelligence, Data Visualization, Claim Readiness, Revenue Integrity, Payer Operations, Compliance, Audit