Planned Parenthood of Greater New York · 3 months ago
Senior Data Revenue Optimization Analyst
Planned Parenthood of Greater New York (PPGNY) is a leading provider, educator, and advocate of sexual and reproductive health care in New York State. The Senior Revenue Cycle Data Analyst plays a critical role in analyzing revenue cycle data, optimizing processes, and providing insights that drive financial performance, requiring a blend of technical skills and business acumen.
Health CareHospitalSocial AssistanceSocial ImpactSocial Network
Responsibilities
Analyze and interpret revenue cycle data to identify trends, discrepancies, and opportunities for improvement
Create exception reports, missing charge reports and other operational reports
Uses critical and analytical thinking to perform analysis and system configuration related to support processes that include but are not limited to eligibility coding charging billing reimbursement remittances and follow up
Develop and maintain dashboards and reports to track key performance indicators (KPIs) related to billing, collections, and accounts receivable
Collaborate with cross-functional teams, including billing, coding, and finance, to ensure data integrity and accuracy
Monitor payer performance and reimbursement trends, providing insights to support strategic decision-making
Assist in the development of financial models to project revenue and optimize revenue cycle performance
Prepare and present data findings to stakeholders, ensuring clear communication of complex information
Stay current with industry trends and regulatory changes that may impact revenue cycle operations
Performs analysis of revenue cycle trends and identifies areas of focus to reduce denials and increase overall collections
Executes root cause analysis for areas identified and proposes solutions to achieve overall enhancement of revenue
Works closely with Associate Director of Revenue Cycle Optimization, VP of Revenue Cycle and Revenue Optimization and EPIC hosting organization to implement automated solutions
Collaborates with Associate Director of Revenue Cycle Optimization, VP of Revenue Cycle and Revenue Optimization and third-party RCM vendor and health center operations to implement process changes
Write and distribute support-related communications to appropriate employees
Develop and maintain procedural documentation for the maintenance and upgrade to the EPM/EMR products and related clinical technologies as required
Provide support to end users, troubleshoot issues and identify training opportunities
Work collaboratively with Operations and Medical Leadership to improve front end processes to prevent rejections and denials
Qualification
Required
Bachelor's degree in finance, Healthcare Administration, Data Science, or a related field
5+ years of experience in data analysis and EPIC, preferably within the healthcare or revenue cycle domain
Strong knowledge of Epic RCM systems and related reporting tools (Slicer Dicer, Cognito, Caboodle)
Proficiency in data analysis tools and software (e.g., SQL, Excel, and Power BI)
Strong analytical and problem-solving skills with a keen attention to detail
Excellent communication skills, with the ability to present data-driven insights to both technical and non-technical audiences
Knowledge of healthcare reimbursement methodologies and revenue cycle processes
Ability to work independently and collaboratively in a fast-paced environment
Strong project management skills with the ability to manage multiple priorities
Preferred
Experience with data analysis and data modeling
EPIC Certification in reporting and/or revenue cycle modules
Benefits
Generous PTO and holiday schedule
Medical, dental and vision coverage options for you and eligible dependents
FSA, HSA, Commuter pre-tax reimbursement funds
Short- and Long-Term Disability, Free Basic Life and AD&D
401(k) Retirement Plan with Safe Harbor contributions after 1 year of employment
Company
Planned Parenthood of Greater New York
Our Vision: Building a world where all communities have full access to innovative, high-quality, affordable, evidence-based sexual and reproductive health services, which will always include abortion, whenever, wherever, and however they are needed.