RCM Analyst

The Revenue Cycle Analyst is responsible for the analysis of accounts receivable (AR) and key revenue performance metrics including identifying and reporting trends in third party payments/reimbursement, denials, and rejections.

1. Develops and refines reports using multiple data sources to identify revenue performance issues and highlight potential opportunities.
2. Presents timely data consolidation/findings/insights to Revenue Cycle Management leadership.
3. Analyzes outcomes of third-party claims processing and prepares relevant reports illustrating payments/reimbursement, denials, and rejections trends.
4. Works with RCM team in root cause analysis of revenue issues and in developing efficient solutions/controls to minimize issues including late payments, underpayments, denials, and rejections to improve cash flow.
5. Performs in-depth payment data analysis and provides regular/current reporting that is helpful in identifying, trending, and addressing issues that impact revenue.
6. Produces ad-hoc reports that drill into payor-specific issues and are used to manage large, collaborative payor projects from project initiation through final reconciliation of impacted accounts.
7. Assists in meeting the data requirements of departmental initiatives that impact key revenue performance metrics, RCM operations, and departmental goals.
8. Develops reporting to monitor revenue performance by care center/location to identify variance from expected results and to monitor contractual changes by Payor for impact to revenue.
9. Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program.
10. Performs other duties as assigned.

• Bachelor's degree in business, finance, data analysis, or related field, and one (1+) year of experience in data reporting and analytics.
• In lieu of educational requirement, five (5+) years' experience in data management, analysis, and reporting, with two (2+) years preferably in a healthcare environment

Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.