Under the direction of the Radiation Oncology Revenue Cycle Manager, the Revenue Cycle Analyst provides complex analytical support for the accurate capture of all clinical billing data, reporting, support and correct and optimal reimbursement for clinical revenue. The Analyst audits and records all Radiation Oncology treatment charges, proactively coordinates with Medical Center Billing agents and Clinical Staff to help resolve and remedy Radiation Oncology Billing and Reimbursement issues. The ... more details
Under the direction of the Radiation Oncology Revenue Cycle Manager, the Revenue Cycle Analyst provides complex analytical support for the accurate capture of all clinical billing data, reporting, support and correct and optimal reimbursement for clinical revenue. The Analyst audits and records all Radiation Oncology treatment charges, proactively coordinates with Medical Center Billing agents and Clinical Staff to help resolve and remedy Radiation Oncology Billing and Reimbursement issues. The Analyst also reviews payer and modality specific revenue productivity reports to help identify revenue underpayment issues, and make recommendations for Radiation Oncology revenue improvements. The Analyst takes a lead role in reviewing changes to CPT codes that impact the revenue cycle within the department and works in collaboration with the revenue cycle team to re-set CDM charge profiles. This position is responsible for reviewing ongoing changes in CMS and insurance plan requirements for authorization, including bundling and medical necessity requirements. The analyst interprets these regulatory changes and provides ongoing education and training to the clinical and administrative teams. Additionally, the Analyst is responsible for Self Pay Patient Accounts by coordinating with International Patient Concierge Program, and Admissions and Registration to help provide correct treatment pricing and correct receipts of self pay payments. Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting and support. Ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services. Impacts processes to include charge capture, coding, insurance identification, data entry, billing, payment posting, refund processing and collections.
The final salary and offer components are subject to additional approvals based on UC policy. To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (https://tcs.ucop.edu/non-academic-titles) Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role. For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Epic and/or Aria experience
Thorough understanding of the issues, processes, reporting instruments, metrics, analytics, and other tools and techniques involved with measuring and analyzing the revenue cycle.
Strong skills in report development, dashboard design, and various software specific to healthcare revenue cycle management. Skills in common database, spreadsheet and presentation software.
ROCC-Radiation Oncology Certified Coder
Bachelor degree in Accounting or Business Finance or four years of applicable experiences.
Two or more years of experience in hospital and medical practice billing or equivalent combination of education and hands-on work experience in hospital procedural area billing and medical practice billing
Thorough knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
Detail oriented, with proven ability to effectively manage time, see tasks and projects through to completion, organize competing priorities, and effectively address complex, urgent issues as they arise.
Strong communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations.
Strong analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems and propose innovative solutions.
Strong interpersonal skills, with the ability to collaborate effectively on complex projects in a team environment with staff from a wide variety of business and clinical areas.
Proven ability to work with managers, serving as a technical resource, providing recommendations and advice on regulatory changes, and industry trends and developments in revenue cycle management.
Understanding of practice operation work flow that would impact billing (Front Desk Reception, Scheduling, Authorization).
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