Sylvan Health
Overview
Reporting directly to the SVP Operations, while also deeply collaborating with the Operations & Clinical teams, the Revenue Cycle Analyst will play an integral role in streamlining the delivery engine of Sylvan Health. This person will manage patient billing and insurance claims for our partners and work cross-functionally across the operations and finance verticals. They will assist our operations team in implementing revenue cycle management best practice strategies, create reports with and for our partners, and analyze data to identify lost revenue and collect payments. This role requires knowledge about insurance coverage, a technical aptitude, and ideally have previously worked in a start-up environment. Responsibilities
Support billing workflow for RDs, client success for patient resolution Provide expertise to create and sustain RCM support for Sylvan model Utilize multiple EHR systems to access claims reports for our partners and program Monitor and oversee monthly financial reconciliation processes for our partners in coordination with our operations team Build out and deliver partner deliverables and requirements to empower optimal claims submission and billing for our programs Send partner claims files, review and educate partners on billing best practices Work with the operations team to empower partners for optimal billing results Own and evaluate current and future billing processes and procedures to act as RCM consultant and guide Act as primary POC for RCM-related initiatives and communication alongside the Client Success Team Qualifications / Skills and Abilities
Willingness to build from the ground up, growth mindset, and be willing to propose solutions Healthcare and Revenue Cycle Management knowledge, including insurance coverage for examinations, accurate billing of insurance for providers and patients, diagnostic and treatment procedures, medical practice and terminology Ability to work independently, with effective communication across departments and other team members Ability to invest in change management processes, commitment to quality delivery, and attention to detail Technical aptitude to navigate multiple technical systems to deliver quality and timely output Professional and caring communication, including sensitivity with individuals Ability to set priorities for tasks to work effectively despite interruptions and under minimal supervision Maintains strict confidentiality; following HIPAA regulations Requirements
3+ years experience in medical billing and revenue cycle management, or related healthcare field Nice to have: exposure to MNT billing and medical nutrition therapy expertise Background in healthcare, preferably with previous experience in a start-up environment Experience working within an ambulatory healthcare environment is a plus Legally authorized to work in the U.S Seniority level
Entry level Employment type
Full-time Job function
Analyst Industries
IT Services and IT Consulting
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Reporting directly to the SVP Operations, while also deeply collaborating with the Operations & Clinical teams, the Revenue Cycle Analyst will play an integral role in streamlining the delivery engine of Sylvan Health. This person will manage patient billing and insurance claims for our partners and work cross-functionally across the operations and finance verticals. They will assist our operations team in implementing revenue cycle management best practice strategies, create reports with and for our partners, and analyze data to identify lost revenue and collect payments. This role requires knowledge about insurance coverage, a technical aptitude, and ideally have previously worked in a start-up environment. Responsibilities
Support billing workflow for RDs, client success for patient resolution Provide expertise to create and sustain RCM support for Sylvan model Utilize multiple EHR systems to access claims reports for our partners and program Monitor and oversee monthly financial reconciliation processes for our partners in coordination with our operations team Build out and deliver partner deliverables and requirements to empower optimal claims submission and billing for our programs Send partner claims files, review and educate partners on billing best practices Work with the operations team to empower partners for optimal billing results Own and evaluate current and future billing processes and procedures to act as RCM consultant and guide Act as primary POC for RCM-related initiatives and communication alongside the Client Success Team Qualifications / Skills and Abilities
Willingness to build from the ground up, growth mindset, and be willing to propose solutions Healthcare and Revenue Cycle Management knowledge, including insurance coverage for examinations, accurate billing of insurance for providers and patients, diagnostic and treatment procedures, medical practice and terminology Ability to work independently, with effective communication across departments and other team members Ability to invest in change management processes, commitment to quality delivery, and attention to detail Technical aptitude to navigate multiple technical systems to deliver quality and timely output Professional and caring communication, including sensitivity with individuals Ability to set priorities for tasks to work effectively despite interruptions and under minimal supervision Maintains strict confidentiality; following HIPAA regulations Requirements
3+ years experience in medical billing and revenue cycle management, or related healthcare field Nice to have: exposure to MNT billing and medical nutrition therapy expertise Background in healthcare, preferably with previous experience in a start-up environment Experience working within an ambulatory healthcare environment is a plus Legally authorized to work in the U.S Seniority level
Entry level Employment type
Full-time Job function
Analyst Industries
IT Services and IT Consulting
#J-18808-Ljbffr