Revenue Cycle Data Analyst at Anaheim Admin in Anaheim, California

Job Description:

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Revenue Cycle Data Analyst in Anaheim, CA.

The Revenue Cycle Business Analyst works closely with the Vice President of Finance and Senior Director of Revenue Cycle to develop automated dashboards and nuanced business analytics to drive better business performance. This individual will work internally across functions to analyze current workflows and processes to define ways to measure performance improvement, drive increased revenue, reporting efficiencies, and cost savings.

At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family. We are proud to offer a range of plans that help protect you in the case of illness or injury including:

• A competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long term disability. 


• Benefits coverage starts after one full month of employment!


• Generous vacation, sick, and holiday benefits!


• Generous 401(k) matching contributions and more!


• 
  To view our detailed benefits guide, please visit our career site at www.pposbccareers.org
  

Responsibilities

• Diverse understanding of revenue cycle operations including credentialing, provider enrollment, billing, collections, payment/adjustment posting, credit balance/refunds, statements, bad debt write offs, collections processes and reporting.


• Provides thorough data analysis of all A/R behavior, with particular attention to billing, collections/follow/up, denials management, credit balance reconciliation to identify payer trends & patterns.


• Provides oversight and management of all clearinghouse functions and processes, including ad-hoc reporting.


• Creates and manages projects encompassing all phases of application/technology implementations.


• Works closely with Revenue Cycle Management, Operations, and Information Systems, ensuring that applications/technologies/workflows function.


• Evaluates processes and vendors to determine possible changes needed within Revenue Cycle Operations.


• Prepare monthly financial reporting packages and KPI reporting.


• Preforms financial analysis and record revenue recognition.


• Routinely review and audit clinic billing & collections to ensure timely billing and maximize collections according to insurance contracts, and proactively identify risks and problems impacting clinic cash flow.


• Review, analyze and codes clinic diagnostic and procedural information that determines appropriate insurance payments.


• Produces reports identifying billing/collections trends and implements corrective action items.


• Work closely with RCM Director to develop metrics to reduce controllable denials, write-offs and increase revenue intake.


• All other duties as assigned by Senior Director of Revenue Cycle Management and or VP of Finance.

Non-Essential Functions:

• Other duties as assigned.

Qualifications

Minimum Education:

• Bachelor’s Degree in a healthcare or business-related field required.

Minimum Work Experience:

• Minimum of 7 years’ billing and collections experience in the healthcare field.


• Proficient with electronic medical records software (eClinicalWorks), Tableau, Claim Remedy & MS Office preferred.


• Advance experience working with large data sets, multiple data sources and interpreting complex data to create meaningful information.


• Experience reading, interpreting and applying contract language to data sets.

All employees are required to be fully vaccinated and received a booster for COVID-19 unless a reasonable accommodation is approved for a medical/disability or religious exemption.

Planned Parenthood/Orange and San Bernardino Counties is an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, ancestry, national origin, religion, creed, equal pay, age, disability, sex, gender, sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, military, veteran status or any other federal or state protected class. We are committed to building and maintaining an inclusive workplace that values diversity, equity, and inclusion.