Job SummarySummary
Responsible for analyzing, reporting, and optimizing revenue to support financial objectives. Ensures accurate billing, identifies revenue enhancement opportunities, and collaborates with departments to streamline revenue cycle processes and reduce discrepancies in claims and reimbursements.
Does this position require Patient Care?
No
Essential Functions
-Analyzes revenue cycle data to identify trends, variances, and areas for improvement.
-Collaborates with billing and claims teams to address revenue discrepancies and optimize billing accuracy.
-Prepares financial reports detailing revenue performance, payer reimbursement rates, and claims processing outcomes.
-Monitors key performance indicators (KPIs) for revenue cycle activities and identifies process improvement opportunities.
-Ensures compliance with billing regulations, payer requirements, and reimbursement guidelines.
-Develops and maintains revenue forecasting models to aid in strategic planning.
-Conducts root cause analysis of denied claims and collaborates with departments to implement corrective actions.
-Assists in the development and implementation of revenue policies and procedures to ensure consistent and effective practices.
-Liaises with departments to ensure seamless integration of revenue cycle processes with operational practices.
QualificationsEducation- Bachelor's Degree Finance, Accounting, Healthcare Administration, or related field of study required. Equivalent experience may be accepted in lieu of degree
Experience- 3+ years of experience in revenue cycle analysis, billing, claims processing, or financial analysis in a healthcare setting required
Knowledge, Skills and Abilities- Proficiency in revenue cycle management and data analysis tools.
- Advanced Excel skills and familiarity with billing software and revenue management systems.
- Strong problem-solving abilities and attention to detail.
- Excellent communication and collaboration skills to work across departments.
- Knowledge of billing regulations, reimbursement guidelines, and claims management practices.
Additional Job Details (if applicable)Remote TypeRemote
Work Location399 Revolution Drive
Scheduled Weekly Hours40
Employee TypeRegular
Work ShiftDay (United States of America)
Pay Range$79,560.00 - $115,720.80/Annual
Grade7
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
