Revenue Cycle Analyst

Career opportunities abound at Sound!

Sound Behavioral Health is growing and we are hiring a revenue cycle analyst in Tukwila, WA! Sound is one of King County’s most comprehensive providers of quality mental health and addiction treatment services, supporting our area’s most vulnerable populations. A central tenet of our work is Reaching Recovery, an evidence-based clinical care model.

Sound offers a stimulating and supportive working environment, and opportunities for professional growth, in a strengths-based organization. We believe in and advocate for Diversity, Equity, Justice, and Inclusion for our team and clients. 

The Revenue Cycle Analyst reports to the Revenue Cycle Director and supports the Revenue Cycle Team. This position’s contributions include production of various reports from multiple systems and data sources to assist in identifying trends, enhancing visibility, and developing automation for the Revenue Cycle department. Report creation, data analysis, workflow automation and data visualization are key functions of this role.

ESSENTIAL FUNCTIONS AND DUTIES

Data Management and Reporting

• Analyzes claim data and presents reporting that demonstrates trends, deficiencies or areas for improvement in the revenue cycle.
• Designs and implements automated workflows and reports based on the needs of the department and agency.
• Builds dashboards to help visualize data that guides leadership decisions.
• Develops reporting that highlights potential payer relations concerns and informs contracting negotiations.
• Builds reports within the Electronic Health Record (EHR) system and builds Revenue Cycle specific reports within Tableau.
• Attends cross departmental meetings and engages in projects related to revenue cycle improvement or impact.
• Works closely with external Revenue Cycle Management team to ensure all new billing regulations and guidance are reflected in the billing system accurately and timely.
• Develops reports for management teams, financial teams and clinical teams related to revenue cycle.
• Extracts and analyzes data from multiple data sources.
• Compiles, audits, provides correction support, and prepares multiple reports used to support various contractual billings and invoices.
• Support and maintenance of the billing system within the EHR.
• Reviews, updates and maintains the billing tables and set-up requirements related to service codes, fee structure and liability distribution in the billing system.

Data Review and Error Resolution

• • Reviews and interprets data and suggests ways in which reporting could be streamlined or automated.
  • Provides assistance/support related to data issues.

Processes, Documentation and Training

• Learns about and stays abreast of requirements, procedures, etc., to ensure Sound meets requirements for data reporting and accurate billing.
• Works with the Revenue Cycle Management (RCM) team to ensure data collection and reporting needs are met and are in compliance.

SUPPLEMENTAL FUNCTIONS

• Completes assigned special projects independently or as a contributor to, or lead of, a project team.
• Performs other duties as assigned.

KEY WORK RELATIONSHIPS

• Establishes and maintains positive, ethical, and professional working relationships with Finance team, including RCM, Business Applications team, clinicians, Sound management and team members, clients, vendors, and other professionals.

EDUCATION AND EXPERIENCE

• Bachelor’s degree in related field required or five (5) years of related experience in lieu of degree.
• Minimum of one (1) year of experience in report creation, data analysis, data management, and relational database structure and management,
• Experience working as an analyst in a healthcare setting is required.
• Experience with SQL and Crystal Reports required.
• Some experience with Business Intelligence tools (ex. Domo, Tableau) preferred.

KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge and experience in a healthcare revenue cycle setting with a basic understanding of billing and coding for services.
• Knowledge and experience with Microsoft SQL Server and Management tools.
• Knowledge in report creation, Crystal reports, and SQL interfaces such as WinSQL.
• Strong knowledge of data and security concepts as they apply to HIPAA.
• Knowledge of or ability to quickly learn and apply specific data requirements.
• Proficiency with Microsoft applications, including Word, Excel, and Outlook; experience with Electronic Health Record systems (myAvatar preferred).
• Excellent verbal and written communication and personal interaction skills, with an emphasis on customer service and support; ability to communicate technical information to non-technical persons.
• Excellent analytical, time management, and organizational skills; detail oriented with consistently accurate results.
• Ability to define problems, collect and analyze complex data, establish facts, and draw valid conclusions, with the ability to provide guidance to others involved in a problem-solving process.
• Ability to develop and maintain strong professional relationships with employees at all levels, clients, and vendors, and with varying educational, professional and economic backgrounds.
• Ability to work effectively with minimal supervision, manage multiple duties and priorities, and maintain high standards for accuracy, productivity, and confidentiality.
• Ability to function as a member of a team, leading within the scope of the position and contributing whenever possible.

CERTIFICATES, LICENSES & REGISTRATIONS 

• Must pass criminal background checks.

PHYSICAL DEMANDS

To successfully perform the essential duties of this position, an individual must be able to sit at a desk for four or more hours a day, and use office equipment, including computer keyboard and mouse repetitively for four or more hours per day. Individuals must be able to engage persons over the phone and in-person by voice. Regular attendance is an essential function of the position. Reasonable accommodations may be made to assist individuals with disabilities to perform essential position functions.

LIMITATIONS AND DISCLAIMER 

The above position description is meant to describe the general nature and level of work performed; it is not intended as an exhaustive list of all duties, responsibilities and required skills for the position. Team members will be required to follow any other position-related instructions and to perform other duties requested by their supervisor in compliance with Federal and State laws. Requirements are representative of minimum levels of knowledge, skills and/or abilities necessary to perform each duty proficiently. Continued employment remains on an “at-will” basis.