CenterWell Home Health Hiring for Revenue Cycle Data Analyst Full Time

Description

Responsibilities

***This position is mainly remote but the individual needs to be local to the Atlanta, GA market.***

The Revenue Cycle Data Analyst is responsible for analyzing incoming and outgoing revenue sources and measuring different financial cycles. This role will coordinate activities of staff responsible for charge capture, reimbursement analysis, or other financial functions.

• Provides RCM analytics for the Revenue Cycle leaders and staff, including payer trends for edits, rejects, and denials of claims using metric-driven methodologies and a variety of data analytic tools.
• Transforms data into exception-driven, actionable information through trending, comparisons to goals and norms, and drill-downs to highlight point problems versus systemic issues.
• Prepares graphical representations of data that provides clear direction to support proposed improvements, performance to plan, and other data-driven communication and presentations.
• Performs analyses and develops s regarding payor reimbursement patterns, underpayment, and overpayment, RVUs relative to payment trends, and the ongoing evaluation of opportunities for improvement to capture billing and collection operations.
• Works on projects as needed

Required Qualifications

• Required Experience/Skills:

• Associates Degree in Finance, Healthcare Administration, Information Management, Engineering or Mathematics; Bachelor’s degree preferred
• Minimum 2 years in an analytic role collecting, querying, ing, analyzing, and presenting data; preference in healthcare, accounting, or corporate finance setting
• Strong knowledge of revenue cycle and business processes such as medical billing, collections, disputes, and denials
• Basic knowledge of finance and statistics (ROI, NPV, Risk, etc.)
• Able to manage and prioritize multiple priorities in a fast-paced work environment
• Able to work independently without onsite direct supervision
• Exceptional analytical and problem-solving skills; able to analyze processes and information, identify problems and trends, and develop effective solutions and strategies
• Advanced Microsoft Office skills
• Prior experience with Homecare – HomeBase preferred
• Experience presenting data using applications such as ing tools, databases, spreadsheets, word processing, presentation, and graphic software
• Strong attention to detail and follow-up skills
• Strong interpersonal skills; ability to relate with different personalities
• Excellent oral and written communication skills
• Must read, write and speak fluent English.
• Must have good and regular attendance.
• Approximate percent of time required to travel: 5%
• Performs other related duties as assigned.
• This role requires full COVID-19 vaccination.

Preferred Qualifications

• Previous health insurance industry experience working in a Finance/Accounting department
• Financial ing experience is a plus

Additional Information

ALERT: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from [email protected] with instructions to add the information into the application at Humana’s secure website.

Scheduled Weekly Hours

40