A/R Analyst

Position Overview: The A/R Analyst reports to the Director of Operations and leads the analytical oversight of accounts receivable operations while providing strategic support to the A/R team. This role combines data analysis, process optimization, and team coordination through facilitating continuous training for established team members and newly hired team members and having an active role in End of Month processes to drive revenue cycle performance through evidence-based decision making.

Responsibilities:

·         Provides analytics & reporting to the Director of Client Operations through the following:

o   Analytics & Reporting:

§  Conducts comprehensive A/R analysis including

·         Denial management and root cause analysis

·         Out of period adjustment (OOPA) trends and impact assessment

·         Account inventory management and new facility onboarding audits

·         Cash flow optimization analysis

·         Payer behavior trending and pattern analysis

§  Develop and maintain analytical dashboards for key performance metrics

§  Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution.

§  Completes routine Q/A reviews of work completed based on standard policies & procedures utilizing internal reporting tools

§  Ensures compliance with state and federal laws and regulations

o   Process Optimization & Strategy

§  Serves as a Subject Matter Expert of A/R processes and reimbursement methodologies

§  Provides expert guidance on respective clients, regional payer trends and overall client specifics

§  Identify and implement improvements based on analytical findings

§  Coordinate with offshore team to optimize workflow and ensure data accuracy

§  Maintains thorough understanding of health insurance and government programs, when necessary

o   Team Development & Coordination:

§  Analyzes departmental training requirements and collaborates with the training team to implement data-driven quality assurance programs

§  Assists with onboarding and training new team members on A/R processes and reimbursement methodologies

§  Coordinate cross-functional initiatives between coding, billing, and cash applications teams

§  Monitors collection processes to determine cash flow improvement opportunities

§  Assists with generating, organizing and disseminating Month End reporting, narratives and summaries to clients.