Associate Analyst, Revenue Operations

Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you’re ready to take your career to the next level and gain valuable experience, apply today!

The primary function of the Associate Analyst, Revenue Operations is to effectively assist in production and collections. This individual works closely with regional analysts, ROC division leaders, and operations managers to assist with action plans developed for opportunities identified. The Associate Analyst, Revenue Operations supports data driven insights through metrics and reporting. This position is proactive in its efforts to ensure insurance companies are billed correctly and promptly, as well as receivables are collected effectively in each office.

Responsibilities

• Assist regional analysts to maximize office collections, communicate issues and implement guidelines/parameters to improve processes.
• Analyze various internal and external reports performing root cause analytics locating opportunities within RCM (revenue cycle management) processes, field operations, or insurance carrier trends thus maximizing office collections.
• Identify strategic and operational solutions for RM’s and OM’s to increase first pass claim payments.
• Analyze all RCM processes including insurance claim reports to identify issues, communicate, and collaborate across teams to resolve.
• Analyze the AR Metrics to identify offices that need training or billing process improvements.
• Analyze Explanation of Benefits (EOB) statements and adjust accounts according to PDS claims processing criteria.
• Identify necessary adjustments to accounts and use negotiation skills to obtain claims approval and payment information from various carriers.
• Perform auditing activities to research patient payment trends and determine the best options for the office to learn and provide their patients.
• Monitor work queue volume and trends and communicate findings to regional management and territory managers.
• Participate in continued education growing analytical and technical skill sets to deliver insights that inform business decisions.
• Build business acumen through observation and learning opportunities becoming a subject matter expert in a variety of ROC functions.
• Other duties as assigned by management.

Qualifications

• 3-4+ years of professional experience
• Experience working in Epic Systems.
• Strong computer and data entry skills with competent knowledge of Microsoft Word, Outlook and Excel software applications.

Preferred

• Bachelor’s Degree in Finance, Business Administration or related field. In lieu of degree, 5+ years of claims auditing or related experience is required.
• Previous Operation Management experience in with a retail store or medical/dental practice.
• Insurance Claims Auditing experience.
• Strong presentation skills, and strong written and verbal communication skills.

Knowledge/Skills/Abilities

• Ability to multi-task effectively without compromising the quality of the work.
• Excellent interpersonal, oral and written communication skills.
• Detail oriented, organized, process focused, problem solver, self-motivated, proactive, ambitious, customer service focused.
• Ability to draw conclusions and make independent decisions with limited information.
• Self-motivated, reliable individual capable of working independently as well as part of a team.
• Ability to respond to common inquiries from customers, staff, regulatory agencies, vendors, and other members of the business community.
• Self-motivated, reliable, customer service oriented individual capable of working independently as well as part of a team.
• Ability to read, analyze, and interpret documents such as explanation of benefits (EOB’s), technical procedure manuals, safety rules, operating and maintenance instructions, and governmental regulations.
• Ability to communicate effectively and present information, both verbally and in writing, to patients and/or co-workers.
• Ability to interpret a variety of instructions furnished in written, verbal, or diagram form.

Benefits

• Medical, dental, and vision insurance
• Paid time off
• Tuition Reimbursement
• 401K
• Paid time to volunteer in your local community

Compensation Information

$24.30-$32.90 / Hourly

PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.

Read Full Description