Revenue Cycle Analyst

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Description

MDVIP: Transforming Primary Care, One Patient at a Time

MDVIP is a national leader in personalized healthcare, empowering over 425,000 members to achieve their health and wellness goals through a network of more than 1,400 concierge primary care physicians. Our program emphasizes preventive medicine, offering comprehensive screenings, advanced diagnostics, and individualized wellness plans. Recognized as a Great Place to Work since 2018, MDVIP is committed to excellence in patient care and employee satisfaction.

Position Summary

The Revenue Cycle Administrator plays a key leadership role in supporting revenue cycle processes for practice operations for several physician locations/sites. Plans and works with internal Practice Operations team to organize key revenue cycle functions to maximize cash flow related to accounts receivable for all locations. This includes the management and direct oversight of a partnered billing company to ensure claim processing, timely patient billing, insurance follow up, cash and payment variance management, coding compliance, and provider contract management, including government and non-government payers. Safeguards all PHI and sensitive data, complying with regulations and institutes immediate remediations for all matters presented by auditing team or staff.

Key Responsibilities

• Provides consultative support, advice, and guidance to Practice Operations staff, physicians, and practice staff
• related to revenue cycle management best practices.
• Identifies revenue cycle problems and implements solutions for improvement.
• Trends data while providing timely reporting and/or metrics to management.
• Prepares and presents pertinent information for approval to the Revenue Cycle Review Committee (RCRC) while setting appropriate expectations and complying with local, state, and federal billing regulations.
• Vendor Liaison: Manages Billing Partner relationship, ensuring all service metrics are identified and adhered to, based on the agreement.
• Practice Operations: Reviews Epic and Athena Reports (ex: Open Encounter Report, work queues and Revenue and Usage report) to identify and work with Physicians and Practices to resolve any claim related issues.
• Operations: Works collaboratively with departmental/interdepartmental stakeholders to develop comprehensive programs.

Requirements

Required Qualifications:

• Bachelor's degree and at least 7 years related healthcare industry experience, with a minimum experience level of five years Management of others or vendor management; or equivalent combination of education and experience where two years related experience equals one year of schooling.
• Related and proven hands-on experience as an administrator in a similar role focused on revenue cycle management.
• Strong understanding of revenue cycle management processes; end-to-end revenue management and controls.
• Experience utilizing EMR billing system applications, including dashboard / checklist modules.
• Additional areas of demonstrated skills include Operations Management, Financial Analysis, Medicaid & Medicare Billing, and Project Management are highly desirable.
• Demonstrated medical billing and coding experience or knowledge.
• Self-starter who is customer centric, detail-oriented, extremely organized, collaborative, and works well under pressure.
• Proficient in Microsoft Office applications.
• Able to learn new software easily.

Preferred Qualifications:

• CPC - certified professional coder
• CCS - certified coding specialist
• CCS-P - certified coding specialist - physician-based
• RHIA - registered health information administrator
• RHIT - registered health information technician
• CRCR - certified revenue cycle representative

Why Join MDVIP?

• Be part of a mission-driven organization leading innovation in personalized healthcare.
• Drive transformation and growth in a dynamic, fast-paced environment.
• Competitive compensation: attractive base salary complemented by performance-based incentives for eligible roles.
• Comprehensive benefits: health, dental, vision insurance, and retirement plans.
• Professional development: access to ongoing training and leadership development programs.
• Positive work environment: consistently recognized as a Great Place to Work, fostering a culture of collaboration and excellence.

MDVIP is an Equal Opportunity Employer and is committed to fostering an inclusive and diverse workplace. We welcome applicants of all backgrounds and do not discriminate based on race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected status. We believe that diversity and inclusion drive innovation and strengthen our company culture.

If you require accommodation during the application or interview process, please let us know, and we will be happy to assist.

Pay Transparency: Our compensation reflects the cost of labor across appropriate US geographic markets. Pay is based on several factors including but not limited to market location and may vary depending on job-related knowledge, skills, and education/training and a candidate's work experience. Hired applicants are offered annual incentive compensation programs, subject to applicable eligibility requirements. Payments under these annual programs are not guaranteed and are dependent upon a variety of factors including, but not limited to, individual performance, business unit performance, and/or the company's performance. The company offers the following benefits for this position, subject to applicable eligibility requirements. Medical/prescription drug coverage, Dental coverage, Vision coverage, Flexible Spending Account, Health Savings Account, Dependent Care Flexible Spending Account, Basic and Supplemental Life Insurance & Accidental Death and Dismemberment, Disability Income Protection Plan, Employee Assistance Program, 401(k) retirement program, Vacation, Paid Holidays and Personal time, Paid Sick and Family and Medical Leave time as required by law.