Revenue Cycle Analyst Resume Sample
Laurie Konopelski
890 Muller Circle,
Philadelphia,
PA
+1 (555) 880 6881
Work Experience
Senior Revenue Cycle Analyst
10/2017
-
PRESENT
Dallas, TX
- Build and deploy new functionality to support and drive efficiency, best practice workflows, and standardization within the ambulatory setting
- Lead analysis to understand, configure and modify moderately complex information systems to support business owners with workflow and functionality adoption
- Troubleshoot revenue cycle related issues
- Recommend, design, configure, test, document, and maintain revenue cycle applications, business requirements, current and future state workflow
- Attend local, regional, and WebEx seminars to remain current in supporting the needs of revenue cycle activities
- Improve knowledge in data analytics by attending various seminars and classes relevant to current business needs
- Collaborates with key constituents in different functional areas to assist in designing reports that meet the hospital’s business requirements and provides training on generating these reports
- Be open to others’ ideas and points of view
- Excellent analytical skills (ie. Understanding of where to find data, how it is formatted, and to extract it into a usable format)
Revenue Cycle Analyst
08/2011
-
08/2017
New York, NY
- Understanding hospital billing system, feeder system and billing system interfaces
- Technical competence in all facets of revenue cycle management
- Proficient in MS Office, TSI-Decision Support System, Eagle System, strong MS Access and spreadsheet skills
- Monitors, reports and takes action on physician claim denial trends and/or zero payments with a high level understanding of physician accounts receivable
- Performs accurate data analysis, with an understanding of the Revenue Cycle workflow, identifies denials, researches trends and issues, and reports/ presents to the appropriate area to provide feedback, and recommend solutions relating to coding, provider education, and payor resolution, etc
- Proficient with all areas of EPIC Resolute PB, Qlik Sense, Excel, EPIC reporting, and other reporting tools as defined by business needs
- Provide recommendations and assist with Qlik Sense reporting as needed by the organization Production of non-standard (Adhoc) reports as needed/ requested by the Dir of Denial Mgmt, and provides presentations with a high level overview, as well as individual account details as requested by departments
Fvc-revenue Cycle Analyst
01/2008
-
04/2011
Phoenix, AZ
- Possess a high level understanding of Coding guidelines (ICD-9, ICD-10, CPT-4, CMS, etc.) Responsible for charge corrections, and special projects relating to payor and coding requirements
- Provide consultation to senior leaders, practice administration, physicians and clinical personnel, central business office management, and general operations on the use of reporting tools
- Participates in payor/ managed care/ revenue cycle meetings to ensure communication of identified physician revenue issues
- Maintains certifications for competency in applications (EPIC, etc.), and coding certification(s)
- Maintains skills in technology and coding platforms as they evolve over time within Nemours
- Actively participate in team meetings and specific subject area meetings to provide knowledge transfer and leadership based on experience and expertise
- Coordinate a collaborative process for the development of policies, procedures, and internal controls
- Work collaboratively with manager / director to identify best practices and help develop performance standards that can be tracked and reported
- Work collaboratively with management personnel to identify processes that negatively impact net revenue
Education
Purdue University North Central
2003 - 2007
Bachelor's Degree in Business
Professional Skills
- Excellent verbal and written communication skills, with the ability to clearly articulate thoughts and ideas, as well as maintain and promote professionalism in all interactions and communications
- Highly organized and detailed oriented with excellent problem solving skills; ability to work independently; excellent team, interpersonal and general communication skills; ability to handle problems in a calm and responsive manner
- Strong presentation skills and ability to distill complex concepts into manageable pieces; Experience leading training and providing support
- Demonstrate excellent Word, Excel, PC skills, typing, and organization
- Strong written and verbal communication skills with experience facilitating presentations at all levels
- Excellent analytical skills, problem solving and critical thinking ability
- Demonstrated experience in gathering and analyzing information skillfully, develops alternative solutions
How to write Revenue Cycle Analyst Resume
Revenue Cycle Analyst role is responsible for analytical, organizational, analysis, database, presentation, finance, training, reporting, software, advanced.
To write great resume for revenue cycle analyst job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Revenue Cycle Analyst Resume
The section contact information is important in your revenue cycle analyst resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Revenue Cycle Analyst Resume
The section work experience is an essential part of your revenue cycle analyst resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous revenue cycle analyst responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular revenue cycle analyst position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Revenue Cycle Analyst resume experience can include:
- Work collaboratively with departmental personnel to implement systems and process change aimed at improving clinical documentation, coding and revenue cycle performance
- Utilizes root cause analysis skills to effectively identify and solve problems, offer value-added solutions, and enhance existing processes
- Excellent analytical skills including the ability to analyze, understand, and document key issues
- Report production and presentation skills
- Advanced spreadsheet and other computer skills
- Strong understanding of Healthcare Finance and Revenue Cycle Analytics including Key Performance Indicators
Education on a Revenue Cycle Analyst Resume
Make sure to make education a priority on your revenue cycle analyst resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your revenue cycle analyst experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Revenue Cycle Analyst Resume
When listing skills on your revenue cycle analyst resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical revenue cycle analyst skills:
- Strong project management and problem solving skills. (required)
- Demonstrate confident presentation skills when presenting issues to small and large groups of individuals
- Proven analytical skills including, ability to identify trends and areas for improvement and make recommendations based on financial analysis
- Demonstrates skills with multitasking
- Excellent communication skills; ability to interact with numerous facilities and facility departments. (required)
- Typing and computer skills sufficient to use a computer keyboard for timely and accurate input and production of computer generated documents
List of Typical Experience For a Revenue Cycle Analyst Resume
1
Experience For Senior Revenue Cycle Analyst Resume
- Possess effective oral and written skills, including advanced presentation skills
- Good conversations skills; good communication – written / oral
- Good Analytical skill set; Proven ability to ‘dig in’ to problems and troubleshoot complex issues
- Able to effectively communicate, motivate, educate, and demonstrate through written and oral communication
- Possess excellent mathematical skills and ability to handle monies
- Strong Knowledge and experience with Excel, Access
- Database management and data analytic skills
- Working knowledge of multiple healthcare applications; Epic experience highly desired
2
Experience For Erecord Revenue Cycle Analyst Resume
- Solid understanding of multiple reimbursement systems including IPPS, OPPS, and Fee Schedule
- Three or more years financial analysis experience using within a healthcare setting
- Proficient with Microsoft Windows and Microsoft Office (includes experience trouble shooting, solutioning)
- Experience in healthcare related setting with knowledge of Patient Access / Revenue Cycle / Business systems
- Demonstrates the ability to work independently and takes initiative
- Experience in an Analyst role
- Healthcare industry experience with specific focus on third party collections
- Financial/billing system reporting experience required
3
Experience For Fvc-revenue Cycle Analyst Resume
- Three to five years’ experience in medical group or professional billing environment
- Self-Starter – demonstrated team player – no loners – does not require constant direction
- Related work experience required in hospital and professional billing systems and databases
- Three years of experience in financial reimbursement required
- Previous healthcare reimbursement experience required
- Proven ability to take on additional responsibilities, recommend improvements solutions
- Demonstrates appropriate knowledge and proficiency in Revenue Cycle Management Services
4
Experience For CDM / Revenue Cycle Analyst Resume
- Excellent core value performance
- Tableau experience welcomed
- Budget analysis experience
- Progressive health care finance experience
- Experience healthcare/medical office environment
5
Experience For Assoc Revenue Cycle Analyst Resume
- Demonstrated proficiency in analytical, statistical, and business intelligence tools
- At least three (3) years of progressively responsible experience in revenue cycle operations
- Writing, using proper English grammar, spelling and punctuation, sufficient to compose clear, concise correspondence
- Auditing the charge capture process and billing activities for the MMG providers
- Generating and maintaining selected monthly reports and analysis of revenue enhancement opportunities
- Working knowledge of windows based personal computers
- Working knowledge of relational database management, HTML and SQL programming
- Responsible for gathering, storing and keeping track, in an organized way, of all necessary data and documents that have been collected
- Comprehensive working knowledge of medical/hospital billing practices, billing software, health care insurance, and CMS regulations
6
Experience For Revenue Cycle Analyst Near Schaumburg Resume
- Assists with analyzing the numbers and quantifying objectives
- Knowledge of Medicare and Medicaid regulations, operating systems, reimbursement and payment methodologies, billing functions and source systems
- Educate, train, and assist departments regarding billing issues and best practices
- Assists with coordinating Revenue Cycle Assessments throughout organization collaborating with departments to implement
- Provide and communicate report trending of findings that potentially impact overall performance, maintaining statistical information
7
Experience For Revenue Cycle Analyst Near Naperville Resume
- Knowledge of various software applications, including Microsoft Office, Word, Excel and various billing software
- Knowledge of finance/accounting/billing
- Educate departments and operational areas regarding the impact of their department on the revenue
- Work closely with operational directors and managers to identify common areas of deficiencies and create training sessions to correct the noted deficiencies
- Support Revenue Cycle Lead Analysts and Managers in reviewing, reconciling, and analyzing revenue cycle data to identify fragmented processes and make recommendations for improvement
8
Experience For Epic Ambulatory Revenue Cycle Analyst Resume
- Liaison for EMHS HIM team and other departments/member hospitals, often reaching out for further information, communication, follow up, etc
- Involved in several meetings to add input and to assist in organization of projects, scheduling, minutes, etc
- Promotes an atmosphere of collaboration so Revenue Cycle team members feel comfortable approaching with issues and challenges
- Provide business partnering and analytical support to key decision makers within the organization
- Assist in providing gap analysis between actual and targeted future state
- Presents relevant analytical data to system teams to aid in telling a story that allows leaders to in make decisions and measure results
- Serves as a project facilitator for teams working on major, complex performance improvement efforts
- Assists with reviewing current processes with customers
9
Experience For Epic & Revenue Cycle Analyst Resume
- Identify and assist in remedying communication issues
- Relate well to physicians and other front office administrators and staff, as well as with back office billing management and staff
- Works closely with Revenue Cycle Management and Revenue Cycle Information insuring that applications/technologies/workflows function as intended and as needed
- Maintains change control documentation and logs; maintains all testing documentation for upgrades, conversions and improvements
- Assists in gap analysis and transforming data into useful information
- Probe/investigate and find discrepancies, errors, omissions and bring to resolution
- Daily charge reconciliation in accordance with established charging policy and procedures
- Investigate and correct any issues identified during the department charge reconciliation process
- Identify and/or investigate and correct any issues that prevent optimal and compliant billing
10
Experience For Consultant Revenue Cycle Analyst Resume
- Develop an understanding of the operations, system processes and procedures used at the hospital
- Compile information and/or prepare reports and analyses setting forth results of reviews with appropriate recommendations and conclusions
- Coordinate interaction with various hospital department representatives to gather supporting documentation or clarification of any audit discrepancies
- Analyze complex clinical and financial data and transform to data driving positive change
- Seek appropriate education and training to become knowledgeable in all areas of the position
- Knowledge of Medicare/Medicaid requirements, HCPCS guidelines as well as ICD-10 and CPT coding
- Maintains current knowledge of regulatory developments involving agencies such as CMS and MHA
- Maintain memberships with HFMA or other organizations providing relevant content
List of Typical Skills For a Revenue Cycle Analyst Resume
1
Skills For Senior Revenue Cycle Analyst Resume
- Proven interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas
- Strong analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems
- High level of analytical skills and dynamic communication skills (verbal and written) are required
- Excellent customer service skills, self-directed with the ability to thrive in a highly critical, fast paced environment
- Demonstrated communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner
- Demonstrated experience in diagnosing, evaluating and developing corrective actions for problems
- Health care industry experience, including revenue integrity experience, financial reporting, data analysis
2
Skills For Erecord Revenue Cycle Analyst Resume
- Organize and to establish priorities, be flexible to changes in priorities in a setting with a high volume of patient activity and frequent interruptions
- Manage and prioritize multiple tasks - handling requests of different priority levels requires the ability to multi task to meet the deadlines
- Provides analysis capabilities, information and tools to operations to enhance skills in detecting both current and future performance issues
- Have superior technical skills including proficiency in the Microsoft Suite of applications (Word, Excel, PowerPoint, Access)
- Accounting, finance, finance analytics or similar experience with 3 years of experience in healthcare financial and revenue cycle analysis
- Demonstrated experience in report analysis and detail oriented with the ability to interpret data trends
3
Skills For Fvc-revenue Cycle Analyst Resume
- Effectively communicate and collaborate with process owners
- Validates all data and reports for accuracy and quality prior to distribution
- Intermediate to advance skills in Excel, Word and Outlook
- Experience with assisting in diagnosing, evaluating and developing corrective actions for problems in revenue cycle operations
- Supports and manages existing capabilities related to the standardization and consolidation of daily/weekly/monthly reporting revenue cycle reporting
- Health insurance billing, receivables management, collection and data processing interface experience
- Training experience including the ability to train others virtually
- Experience with TABLEAU Reporting, SQL reporting, and business intelligence software (BIS)
4
Skills For CDM / Revenue Cycle Analyst Resume
- Facilitates development and implementation plans to enable the effective benchmarking and comparative reporting of key revenue cycle metrics
- Assist in implementing solutions resulting in more efficient work flows and effective revenue cycle
- Experience in working with Leadership and Business/Clinical associates at all levels of the organization
- Experience with physician practice management, revenue cycle, payer contracting, managed care models
- Experience with admitting/registration practices and processes
- Professional experience working in revenue management or equivalent area
5
Skills For Assoc Revenue Cycle Analyst Resume
- Two years' experience with Physician Billing
- Experience in admitting/registration practices and processes
- Practical experience in providing business process and functional support for revenue cycle applications from a healthcare environment
- 3 yrs experience with MS SQL, report automation knowledge, report writing
- 5 yrs experience with MS SQL, report automation knowledge, report writing
6
Skills For Revenue Cycle Analyst Near Schaumburg Resume
- Experience with interpreting statistical data and cost and revenue analysis
- Strong proficiency in Microsoft Office Suite including Excel, Access, PowerPoint and Visio
- Manage multiple, and sometimes conflicting priorities
- Two (2) years experience in a healthcare or payer setting is required
- Previous consulting experience helpful
- Experience in all aspects of revenue cycle & operations/professional billing
7
Skills For Revenue Cycle Analyst Near Naperville Resume
- Highly proficient in MS Visio and experience Process Mapping
- Relies on experience and personal judgment to plan and accomplish goals
- Make effective decisions under pressure and in line with company policies
- Demonstrates the ability to write clear, concise, reports for senior administration
- Demonstrate the ability to educate others
- Advanced skill in use of spreadsheets and presentation software
- EMR experience
8
Skills For Epic Ambulatory Revenue Cycle Analyst Resume
- Experience in revenue cycle or practice management
- Experience at a healthcare provider or ambulatory health care environment
- Experience in project coordination and/or project management
- Experience healthcare/medical office environment
- Previous Invision Patient Accounts and/or Patient Management experience
9
Skills For Epic & Revenue Cycle Analyst Resume
- Demonstrated ability to conduct broad denials research
- Experience in healthcare required; 3+ years of claims analysis required
- Demonstrated ability to read, analyze, and interpret complex technical reports, and to read and analyze financial reports
- Demonstrate proficiency in detail oriented tasks that affect the overall Health System
- Demonstrates proficiency in the use of excel documents
- Experience with HMO Capitation
10
Skills For Consultant Revenue Cycle Analyst Resume
- Applicable experience related to revenue cycle concepts and processes
- Experience with SQL
- Healthcare administration/revenue cycle management experience
- Extensive knowledge and experience with health care laws, regulations, and standard
- Experience with Quality Assurance and Documentation Review
- Progressive revenue cycle experience or CRCR certification through HFMA
- Supports strategic plan to focus efforts and resources on high priority areas to improve cash flow and net revenue realization throughout the system
- Understand, validate, and document to provide the most efficient and accurate data
- Prioritize proposed initiatives that support imperatives
List of Typical Responsibilities For a Revenue Cycle Analyst Resume
1
Responsibilities For Senior Revenue Cycle Analyst Resume
- Advanced experience with Microsoft Excel, Access and/or Crystal Reports (e.g. database creation, manipulation and reporting) or SQL (e.g. database creation, manipulation and querying)
- Working knowledge of reporting instruments, metrics and/or dashboard design
- Provide assistance in creating and monitoring models that connect strategies to measures of performance that ensure successful reporting of revenue cycle AR
- Assists with providing constructive feedback and developing training tools
- Develops, communicates, and disperses training documentation to the field, including Central Billing Offices, case managers, operators, etc
- Assist in the standardization of goal setting and productivity and performance monitoring
- Assists in creating and monitoring models that link strategies to measures of performance (financial and non-financial) that ensure successful implementation
- Special ad hoc analyses including running scenario analysis
2
Responsibilities For Erecord Revenue Cycle Analyst Resume
- Develops and maintains decision support, data warehousing, and reporting application systems to meet the information needs of APG
- Communicates internally and externally regarding findings via presentations using charts and graphs
- Assists in reviewing and analyzing annual budget submissions
- Responsible for obtaining and coordinating with staff for all new report requests
- Update and maintain tracking for reporting
- Contacts affiliated hospitals and organizations to obtain billing and RVU data; incorporates data into the reporting database
- Familiarity of health care revenue cycle, including billing and reimbursement
3
Responsibilities For Fvc-revenue Cycle Analyst Resume
- Serves as revenue cycle liaison between Service Line Areas, Coding, HIM, ADT, CM, Contracting, Finance, and Revenue Cycle Leadership
- Responsible for appealing and defending claims denials, adverse audit results, and sanctions
- Establishes and monitors ongoing metric tracking to ensure successful process improvements
- Work well with others in a rapidly changing environment
- Understands and is articulate in communicating the processes and documentation requirements for accurate and compliant charge capture
- Prepare timely and accurate accounts receivable dashboard reporting on a monthly basis
- Assist process owners in defining objectives and tools to measure progress to maximize the output of each initiative
4
Responsibilities For CDM / Revenue Cycle Analyst Resume
- Remain informed about system, database, and process changes and how these changes impact reporting needs
- Participates in interface mapping and design, tests interface transactions, and troubleshoots interface issues
- Produces and reconciles vendor inventory including referrals, placements, and collections and reports issues and trends to management as appropriate
- Works as key team member on internal initiatives and projects related to Revenue Cycle data, analytics and reporting
- Prepares and provides periodic updates to Revenue Cycle and Operations Management, including clinical denial exposure, trends, statistics, etc
5
Responsibilities For Assoc Revenue Cycle Analyst Resume
- Retrieves, organizes, and provides documentation for internal and external audits; performs substantive audit testing
- Provide support in root cause analysis to understand the business issues and summarize data challenges for all EMHS organizations
- Support lead analyst in reviewing, reconciling, and analyzing revenue cycle data including vender service placements, to identify fragmented processes and make recommendations for improvement
- Assist with applying appropriate reconciliation and testing to analytical results to provide high quality and accurate results
- Assists in data interpretation, communication, and presentations around key performance indicators
- Update scorecards and other data tools to help provide actionable information
- Review and analyze revenue cycle functions to identify fragmented process and make recommendations for improvement
6
Responsibilities For Revenue Cycle Analyst Near Schaumburg Resume
- Work directly with Internal and External Auditors as needed to execute annual control testing performed annually as a part of the Company’s annual certification
- An ability to extract and analyze large data sets drawing conclusions from the data and acting on findings
- Performs root cause analysis to identify areas for improvement in the accounts receivable (20%)
- Interact with clients and staff to obtain project knowledge and achieve overall goals
- Verify and maintain accurate receivable balances across multiple information systems
7
Responsibilities For Revenue Cycle Analyst Near Naperville Resume
- Assists in developing a standard of metrics using benchmark data to assist in measuring department’s performance against goals and industry best practices
- Performs responsibilities within system's policies and practices to ensure patient rights are protected and respected
- Advanced knowledge of the revenue cycle
- Communicate with third-party payers/auditors
- Maintain strong working relationships through frequent interaction with department managers and medical staff within the outpatient and inpatient clinical programs
- Write and maintain narratives for charge capture processes, in accordance with hospital policy and procedure
8
Responsibilities For Epic Ambulatory Revenue Cycle Analyst Resume
- Understand the relationship between documentation and charges and be able to link the charges on the bill with the documentation in the medical record
- Obtain and interpret hospital protocols and policies as required
- Works with Patient Admissions, Patient Financial Services, clinicians, and IT personnel to define user requirements and assist with configuring, troubleshooting, and implementing solutions
- Understands charge master set up and maintenance requirements
- Works collaboratively with clinical areas Finance, Health Information Management, Information Services, and Charge Master Analysts to identify and resolve charging issues and opportunities when applicable
- Knowledge of ICD-10, CPT/HCPCs procedure coding along with UB-04 and 1500 billing requirements
9
Responsibilities For Epic & Revenue Cycle Analyst Resume
- Partners with Regulatory Review and Analysis in reviewing government regulations third party payer requirements and alerts appropriate managers to changes
- Perform periodic training and education to department managers, staff, and mid levels and faculty on revenue cycle related topics particularly around the areas of charge entry and use of charge codes for their respective areas
- Does on-going monitoring and auditing of areas assigned to ensure appropriate charging, etc
- Liaison between clinical areas, Finance, and Revenue Cycle Management on pricing for new products/services
- Establishes, maintains, and conducts periodic analysis of overall pricing policies around annual charge increases, algorithms for product and drug and services pricing, and price estimation process
10
Responsibilities For Consultant Revenue Cycle Analyst Resume
- Participate in HCMC revenue cycle committees and related work groups
- Provide valuable input for revenue cycle process improvement initiatives
- Collects, synthesizes and communicates relevant information through the system to support strategies
- Performs financial opportunity assessments for hospitals to identify opportunities to improve revenue cycle performance
- Assists in development of plans to implement strategies and measure the results of the implemented strategies
- Serves business units through analysis of how the value of initiatives and services can be optimized across the system
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