Senior Analyst Revenue Management Central Region

Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

• The Senior Analyst, Revenue Management oversees and optimizes billing, collections, and revenue cycle processes for the Specialty LTACH division. This role ensures accurate patient billing and efficient account management while driving operational performance through leadership, strategic planning, and process improvement. The position collaborates cross-functionally to resolve denials, enhance workflows, and implement automation tools to improve efficiency. May assist in the development and training of billing office staff.

Essential Functions

• Oversee and manage end-to-end revenue cycle operations, including billing, coding support, claims processing, and collections
• Manage daily operations of the billing function, ensuring compliance with organizational policies and revenue cycle best practices
• Ensure accurate and timely claim submission and oversee resolution of denials and underpayments
• Analyze accounts receivable performance and implement strategies to improve cash collections and reduce outstanding balances
• Independently identify and resolve issues related to insurance verification, billing, collections, payer contracts, and payer behavior trends
• Develop, implement, and optimize billing processes, workflows, and internal controls to mitigate risk and improve efficiency
• Ensure compliance with federal, state, and local regulations, including HIPAA, Medicare, Medicaid, and commercial payer requirements
• Lead process improvement initiatives, including implementation of automation tools and system enhancements
• Prepare and deliver monthly reports with key revenue cycle metrics and performance insights
• Oversee hiring, training, and professional development of billing team members
• Collaborate with regional and organizational leadership to align revenue cycle operations with strategic goals
• Serve as a liaison between revenue cycle, finance, operations, and external vendors
• Monitor activities with collection agencies, insurance companies, patients, physicians, and internal departments
• Maintain accurate records, reports, and documentation
• Participate in meetings and committees as assigned

Knowledge/Skills/Abilities/Expectations

• Strong knowledge of revenue cycle operations, including billing, collections, and accounts receivable management
• Knowledge of government and commercial payer regulations, reimbursement methodologies, and compliance standards
• Understanding of managed care, third-party billing requirements, and fair credit and collection practices
• Strong analytical, problem-solving, and data interpretation skills
• Advanced proficiency in Microsoft Office applications, particularly Excel
• Experience with healthcare billing systems, patient accounting systems, and database management
• Excellent verbal and written communication and interpersonal skills
• Ability to manage multiple priorities and work independently in a fast-paced environment

Qualifications

Education

• Bachelor's Degree in Healthcare Management, Business Administration, or related field (Required) And
• Master's Degree (Preferred) Or
• Equivalent Combination of Education and Experience in lieu of degree (May be Considered)

Licenses/Certifications

• None Specified

Experience

• 5+ years experience in hospital billing and collections (Required) And
• Prior Experience in long-term acute care hospital operations (Preferred) And
• Prior Experience supporting multi-location and multi-state billing operations (Preferred)