Revenue Cycle Analyst
Role: Revenue Cycle Analyst - Primary Care and Outpatient Department
Location: Onsite, United Kingdom
Contract: FTC (12 Months)
About us:
CereCore was formed in 2001 as a shared service business within a large hospital operator. We focus solely on helping healthcare organizations align business and IT strategies to improve processes and patient care.
At CereCore, our heart for healthcare is interconnected with our knowledge of technical solutions creating a vital link that ultimately drives the delivery of high-quality care. We are a wholly-owned subsidiary of Hospital Corporation of America (HCA) Healthcare.
The role:
We are looking for a skilled and detail-oriented Revenue Cycle Analyst to work in our Primary Care and Outpatient Department Workstream. The Revenue Cycle Analyst will play a vital role in optimizing revenue generation, ensuring accurate and timely billing and maximizing reimbursement for services provided in our healthcare facility. The successful candidate will possess a deep understanding of healthcare billing and revenue cycle processes, as well as excellent analytical and communication skills.
Your Responsibilities:
- Analyze and review patient accounts and billing information to ensure accurate coding, charge capture and documentation for services provided in the Primary Care and Outpatient Department Workstream.
- Identify and rectify any coding or billing discrepancies, working closely with medical coders, clinical staff, and billing personnel to ensure compliance with regulatory requirements and payer guidelines.
- Conduct regular audits of patient accounts, claims, and documentation to ensure compliance with billing and coding standards and guidelines.
- Collaborate with cross-functional teams, including medical billing, coding, clinical staff, and finance, to streamline revenue cycle processes and resolve any billing-related issues promptly.
- Monitor and track claim denials, rejections, and underpayments, identifying trends and patterns to develop strategies for reducing these issues and improving revenue recovery.
- Assist in the preparation of reports and analysis related to revenue cycle performance, providing insights and recommendations to management for process improvement and optimization.
- Stay updated with changes in healthcare regulations, coding guidelines, and payer policies to ensure accurate and compliant billing practices.
- Participate in training sessions and workshops to educate clinical and administrative staff on revenue cycle best practices, coding updates, and documentation requirements.
- Collaborate with IT teams to optimize the utilization of revenue cycle management software and tools, ensuring accurate data capture and reporting.
- Provide support during audits and compliance reviews, ensuring the accuracy and completeness of documentation and billing records.
- Contribute to the development and implementation of revenue cycle improvement initiatives, focusing on enhancing efficiency, accuracy, and reimbursement rates.
- Ideally a Bachelor's degree in Healthcare Management, Finance, Business Administration, or a related field. Relevant certifications (e.g., Certified Professional Coder - CPC, Certified Revenue Cycle Representative - CRCR) are a plus.
- Minimum of 2 years of experience in healthcare revenue cycle management, preferably in a primary care and outpatient setting.
- Proficiency in medical coding systems (e.g., CPT, ICD-10), billing software and electronic health record (EHR) systems.
- Strong understanding of healthcare reimbursement methodologies, billing regulations and compliance requirements.
- Exceptional analytical skills with the ability to interpret data, identify trends and provide actionable insights for process improvement.
- Excellent communication skills, both written and verbal, with the ability to collaborate effectively across various departments and roles.
- Detail-oriented approach to reviewing and auditing billing documentation and patient accounts.
- Strong problem-solving skills, with the ability to independently resolve billing discrepancies and denials.
- Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and familiarity with revenue cycle management software.
- Ability to work independently, manage multiple tasks, and meet deadlines in a fast-paced healthcare environment.
- Complete freedom and autonomy to work how you want to
- Encouraged to build collaborative relationships
- Involvement in decision-making and helping drive results
- Self-Leadership and promotion of continuous professional growth
- 600+ Clinical and Technical Professionals
- 400+ Hospitals Supported
- 3500+ Care Settings Supported
- Competitive salary
- 25 days holiday (plus 8 Bank Holidays)
- Pension
- Life insurance
- Core Critical Illness Cover (£10K)
- Health assessment
- Personal accident insurance
- Private GP service
- Private dental
- Travel Insurance
- Buy / Sell annual leave
- Cycle to work scheme
- Dining cards
- Will writing
- Season ticket loan
- GymFlex
- Three-time winner of Modern Healthcares Best Places to Work in Healthcare Award
- Three-time winner of ClearlyRateds Best of Staffing and Talent Awards (Only 2% of the nation's staffing firms have this recognition)
- Silver Stevie® Award Winner for Achievement in Customer Satisfaction in The 20thAnnual American Business Awards®
- Five-Star Best Practice MEDITECH Infrastructure as a Service (IaaS) provider (This industry-defined standards assessment rated us as a premier hosting provider for the past five years).
- MEDITECH-Ready Certified designation validates our expertise and capabilities to deliver solutions across all areas and versions of the MEDITECH solution.
- Participant in ServiceNow Partner and Service Provider Partner Programs
- Hundreds of professional technology certifications including ITIL, Six Sigma, PMI, CHCIO, Epic, and more.
- Hundreds of professional clinical certifications including nursing, health informatics, pharmacy, radiology anddoctorates
About the Company: CereCore
Website: https://cerecore.net/
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