Aegis Sciences Corporation
Senior Revenue Cycle Business Analyst
Aegis Sciences Corporation, Nashville, Tennessee, United States, 37247
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Senior Revenue Cycle Business Analyst
role at
Aegis Sciences Corporation
The Senior Revenue Cycle Business Analyst is responsible for analyzing and optimizing the financial processes within a laboratory organization, including patient registration, coding, billing, and collections, by reviewing data to identify trends and areas for improvement and implementing strategies to maximize revenue while ensuring compliance with regulations, ultimately improving the overall revenue operations experience.
Responsibilities
AR Management
Analyzing denied claims, identifying reasons for denials, and taking corrective actions to minimize future denials
Review medical codes and billing information for accuracy and compliance with billing guidelines to minimize claim rejections and denials
Ensure adherence to healthcare regulations and coding guidelines, including HIPAA and ICD‑10 coding standards
Develop and implement strategies to address identified issues, including workflow changes, training programs, and system updates to enhance revenue cycle efficiency
Provide one‑on‑one training and cross‑training for other Revenue Cycle Business Analysts and Specialists in reviewing and interpreting medical records and internal documentation to enhance appeal strategies
Make informed decisions based on knowledge of payer policy, state and federal guidelines, and thorough review of internal documents including testing protocols and billing impacts on claim adjudication to achieve a positive outcome
Collaborate with payers, managed care, clinical and legal teams to resolve outstanding claims and address billing issues
Analyze large volumes of revenue cycle data, including patient demographics, insurance verification, claim submissions, denial trends, and payment history to identify patterns and areas for improvement
Develop and maintain key performance indicators (KPIs) such as days sales outstanding (DSO), denial rates, clean claim submission rates, and collection efficiency to track revenue cycle performance
Analyze and synthesize complex information to identify key issues, develop clear summaries, and define actionable next steps; collaborate across teams to ensure alignment, drive resolution, and maintain momentum on strategic initiatives
Qualifications
High school diploma or GED required; degree in Business, Finance or related discipline preferred
With a high school diploma, a minimum of eight (8) years of experience in denial management and other areas of Healthcare Revenue Cycle Functions required; with a Bachelor’s degree, a minimum of six (6) years of experience required; with a Master’s degree, a minimum of four (4) years of experience required
Experience using reporting tools and advanced Excel skills required
Knowledge of insurance including Medicare, Medicaid, Blue Cross Blue Shield and third‑party payers required
Ability to utilize critical thinking skills while performing reimbursement/denial analysis
Aegis Sciences Corporation is an Equal Opportunity Employer
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function
Research, Analyst, and Information Technology
Industries
Hospitals and Health Care
Brentwood, TN $65,000.00 - $87,000.00 1 week ago
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Senior Revenue Cycle Business Analyst
role at
Aegis Sciences Corporation
The Senior Revenue Cycle Business Analyst is responsible for analyzing and optimizing the financial processes within a laboratory organization, including patient registration, coding, billing, and collections, by reviewing data to identify trends and areas for improvement and implementing strategies to maximize revenue while ensuring compliance with regulations, ultimately improving the overall revenue operations experience.
Responsibilities
AR Management
Analyzing denied claims, identifying reasons for denials, and taking corrective actions to minimize future denials
Review medical codes and billing information for accuracy and compliance with billing guidelines to minimize claim rejections and denials
Ensure adherence to healthcare regulations and coding guidelines, including HIPAA and ICD‑10 coding standards
Develop and implement strategies to address identified issues, including workflow changes, training programs, and system updates to enhance revenue cycle efficiency
Provide one‑on‑one training and cross‑training for other Revenue Cycle Business Analysts and Specialists in reviewing and interpreting medical records and internal documentation to enhance appeal strategies
Make informed decisions based on knowledge of payer policy, state and federal guidelines, and thorough review of internal documents including testing protocols and billing impacts on claim adjudication to achieve a positive outcome
Collaborate with payers, managed care, clinical and legal teams to resolve outstanding claims and address billing issues
Analyze large volumes of revenue cycle data, including patient demographics, insurance verification, claim submissions, denial trends, and payment history to identify patterns and areas for improvement
Develop and maintain key performance indicators (KPIs) such as days sales outstanding (DSO), denial rates, clean claim submission rates, and collection efficiency to track revenue cycle performance
Analyze and synthesize complex information to identify key issues, develop clear summaries, and define actionable next steps; collaborate across teams to ensure alignment, drive resolution, and maintain momentum on strategic initiatives
Qualifications
High school diploma or GED required; degree in Business, Finance or related discipline preferred
With a high school diploma, a minimum of eight (8) years of experience in denial management and other areas of Healthcare Revenue Cycle Functions required; with a Bachelor’s degree, a minimum of six (6) years of experience required; with a Master’s degree, a minimum of four (4) years of experience required
Experience using reporting tools and advanced Excel skills required
Knowledge of insurance including Medicare, Medicaid, Blue Cross Blue Shield and third‑party payers required
Ability to utilize critical thinking skills while performing reimbursement/denial analysis
Aegis Sciences Corporation is an Equal Opportunity Employer
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function
Research, Analyst, and Information Technology
Industries
Hospitals and Health Care
Brentwood, TN $65,000.00 - $87,000.00 1 week ago
#J-18808-Ljbffr