Seattle Children's

Revenue Cycle Analyst

Seattle Children's$60K — $189K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • High school diploma or equivalent experience required.
  • Minimum three years of relevant revenue cycle workflow experience necessary.
  • Technical understanding of CMS/Medicaid regulations required.
  • Experience in commercial payor billing or prior authorization requirements needed.
  • Aptitude for data analysis to identify variances and implement changes preferred.

Responsibilities

  • Support maximum reimbursement by analyzing charge, authorization, billing, and payment issues.
  • Collaborate with teams across Revenue Cycle, Contracting, IS, and Clinical partners.
  • Gather information from various sources to assess internal and external challenges.
  • Identify trends that impact reimbursement outcomes and propose solutions.
  • Initiate countermeasures within operational teams to reduce delays or denials.

Benefits

  • Medical, dental, and vision plans offered.
  • 403(b) retirement plan available.
  • Life insurance provided.
  • Paid time off included.
  • Tuition reimbursement available.
Full Job Description
The Revenue Cycle Analyst supports Seattle Children's ability to compliantly collect maximum reimbursement by analyzing and addressing internal and external charge, authorization, billing or payment issues resulting in delayed or denied payment. This role collaborates with all levels of staff in the Revenue Cycle, Contracting, IS and, Business Ops Analytics and Clinical teams. Gathering information using standard analytical tools, as well as information or escalations from leaders and front line staff, payer communications and internal account reviews, the Revenue Cycle Analyst identifies trends where outcomes differ from what is expected, then proactively recommends or initiates countermeasures within their operational team(s).

Required Education and Experience
High school diploma or equivalent experience.
Minimum three (3) years of relevant revenue cycle workflow experience resulting in technical understanding of CMS/Medicaid regulations and/or commercial payor billing or prior authorization requirements, and ability to accurately interpret related information; and,
Experience or demonstrated aptitude with data analysis for the purpose of identifying unwanted variance and implementing change/improvement.

Required Credentials
N/A.

Preferred
Associates degree or higher, or the equivalent post secondary education and relevant business experience.
Greater than three (3) years of relevant revenue cycle workflow experience resulting in technical understanding of CMS/Medicaid regulations and/or Commercial Payor billing, referral and/or prior authorization requirements and ability to accurately interpret related information; and,
Experience implementing process improvement in healthcare revenue cycle operations.

Compensation Range
$29.16 - $90,965.00 per hour

Salary Information

This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided.

Disclaimer for Out of State Applicants

This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors

Benefits Information

Seattle Children's offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website www.seattlechildrens.org/careers/benefits.

About Seattle Children's

Seattle Children's is a pediatric hospital and research center that was founded in 1907. The hospital provides a wide range of services including cancer care, heart care, and neurology. Seattle Children's is also a leading research institution and conducts research in areas such as cancer, genetics, and immunology. The hospital has a strong commitment to community outreach and provides care to underserved populations. Seattle Children's is consistently ranked as one of the top children's hospitals in the United States.
Learn more about Seattle Children's
Size
8,000 employees
Industry
Net Income
$100 million
5 Year Trend
+10%
Revenue
$2 billion
NASDAQ

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