Revenue Cycle Analyst -Oncology in Lompoc, California at Lompoc Valley Medical Center

Salary Range: $22.98/h - $31.67/h

Pay rates are determined based on experience and internal equity.

Position Summary:

• The Revenue Cycle Analyst is responsible for auditing and evaluating the revenue cycle processes.
• Will communicate effectively with all levels of staff, take initiative to work proactively and present issues with solutions to the respective staff and management.
• Prepare analytic reports for review.
• Provides feedback to Manager, Director and Pharmacy Director of reimbursement situations that may result in risk management action.
• Must work well under stress or tight deadlines.
• Must work well with supervisors, co-workers, patients/residents, family members and visitors.

District Responsibility:

• Support of the District Mission and Values
• Demonstrate Respect, Professionalism and Courtesy to all patients, visitors, other providers and coworkers, as delineated in the LVMC “Commitment to Care”.
• Constantly use C-I-CARE principles when communicating with others.
• Performance Improvement Activities
• Professional Development

Position Duties/Responsibility:

• Review and analyze exception reports for corrections and improvements.
• Review and analyze denials on a daily basis.
• Collaborates with departments to ensure the charges are posted correctly and accurately.
• Identify error trends from data obtained through claims review and denials.
• Prepare reports and analyze findings for staff and management.
• Perform detailed analyses of cash posting variances and ensure all payment files are processed daily.
• Prepare reports for audits and management requests.
• Acts as an internal consultant along with the Revenue Cycle Analyst for all issues related to the Revenue Cycle software systems used by the Revenue Cycle staff.
• Ensures billing accuracy, maintaining continuous compliance with billing guidelines set forth by CMS and Medi-Cal.
• All Billing and Oncology claim follow-up work for both Facility and Professional claims.

Essential Functions:

• Ability to use computer keyboard, telephone and insurance eligibility determination equipment
• The ability to be supervised.
• The ability to work as a Team member.
• The ability to have positive personal interactions with staff, patients/residents and visitors.

Position Qualifications:

• Education: High School diploma or equivalent.
• Experience: 5 years of previous experience with Oncology Claims office/hospital experience preferred.
• Certifications: None necessary.
• Skills/Ability: Excellent verbal skills required. Exhibits the ability to organize multiple assignments and follow through with accuracy. Exercises good judgment under stress. Demonstrates maturity, initiative, emotional stability, tact and poise.
• LVMC reserves the right to modify the minimum requirements depending on the needs of the organization.