Revenue Cycle Analyst

How will this role have an impact?

The Revenue Cycle Analyst will be responsible for overseeing the revenue recognition, client invoicing/accounts receivable, claims submission and cash collection and posting processes. This position researches and analyzes underlying data to provide explanations for reporting results as needed. Additionally, this position uses internal and online application tools (including the Company's medical claims clearinghouse) to gather and analyze data, creates Excel formulas and worksheets, and generates reports for internal and external use. This position works under the supervision of the Revenue Cycle Operations Manager.

The Revenue Cycle Analyst gets the opportunity to work directly with Signify clients, driving client satisfaction related to invoicing and critical 837p data. The analyst is responsible for overseeing the revenue recognition, client invoicing/accounts receivable, claims submission and cash collection processes. This position researches and analyzes underlying data to provide explanations for reporting results as needed. Additionally, this position uses internal and online application tools (including the Company's medical claims clearinghouse) to gather and analyze data, creates Excel formulas and worksheets, and generates reports for internal and external use.

Diversity and Inclusion are core values at Signify Health, and fostering a workplace culture reflective of that is critical to our continued success as an organization.

What will you do?

• Manage, track and report the earned revenue and accounts receivable balances throughout the month.
• Prepare volume and revenue-related reports needed for month-end financial close; provide commentary on material changes and issues.
• Retrieve payment detail from various client portals, apply to the internal billing system and reconcile to actual cash received.
• Prepare client invoices in specified formats and frequency.
• Set up billing and payment parameters for new clients as needed.
• Research unpaid claims and manage the reconciliation process with clients.
• Prepare regular reporting on number of visits by different dimensional slices.
• Ensure all assigned duties are completed accurately and on time.
• Assist with variance analysis of actuals to budget.
• Assist with preparing mid-year forecasts and updated projections.
• Perform ad hoc projects and analyses as needed.
• Assume other duties as assigned.
• Must have strong analytical skills.
• Must have strong skills in Excel and ability to manage large data sets.
• Communicate clearly and effectively with internal colleagues and external clients.
• Must be able to compile clear and concise internal and external communications.
• Must have an understanding of claims billing and reconciliation processes.
• Responsible for the security and privacy of any and all protected health information that may be accessed during normal work activities

We are looking for someone with:

• Minimum of 2-4 years successful work experience in Excel
• Four (4) years HIM- Health Information Management-, Business Office or related Revenue Cycle experience in a Healthcare related field preferred Preferred 4+ years of medical claims billing experience
• Ability to identify revenue cycle problems and implement solutions
• Experience working with 3rd party healthcare payers as it relates to claim submission, collections and cash application
• Experience working with medical claims clearinghouses
• Working knowledge/understanding of claim adjustment reasons and remark codes
• Working knowledge/understanding of CPT- Current Procedural Terminology - and diagnosis codes
• Working knowledge/understanding of Medicare, Medicaid and Commercial payers
• Working knowledge/understanding of credit balances and refunds
• Experience working directly with internal and external customers
• Experience working with Information Technology to build revenue cycle processes
• Must have a basic understanding of Generally Accepted Accounting Principles

About Us:

Signify Health is helping build the healthcare system we all want to experience by transforming the home into the healthcare hub. We coordinate care holistically across individuals' clinical, social, and behavioral needs so they can enjoy more healthy days at home. By building strong connections to primary care providers and community resources, we're able to close critical care and social gaps, as well as manage risk for individuals who need help the most. This leads to better outcomes and a better experience for everyone involved.

Our high-performance networks are powered by more than 9,000 mobile doctors and nurses covering every county in the U.S., 3,500 healthcare providers and facilities in value-based arrangements, and hundreds of community-based organizations. Signify's intelligent technology and decision-support services enable these resources to radically simplify care coordination for more than 1.5 million individuals each year while helping payers and providers more effectively implement value-based care programs.

To learn more about how we're driving outcomes and making healthcare work better, please visit us at www.signifyhealth.com.

We are committed to equal employment opportunities for employees and job applicants in compliance with applicable law and to an environment where employees are valued for their differences.