OR/CVL Revenue Analyst jobs in United States
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Presbyterian Healthcare Services · 1 day ago

OR/CVL Revenue Analyst

Presbyterian Healthcare Services is a not-for-profit healthcare system dedicated to improving community health. They are seeking an OR/CVL Revenue Analyst to support the Revenue Cycle by performing quality audits, ensuring compliance, and coordinating training across various departments.

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H1B Sponsor Likelynote

Responsibilities

Liaison to the Manager, Finance/Patient Financial Services, all hospitals, all PMG Sites, PHP, , Albuquerque Ambulance, Compliance and all HSL departments in addressing auditing, compliance and training issues and problems
Performs quality assurance audits of patient accounts for accuracy of information obtained during and after the admission process which includes but not limited to; patient demographics, complete and accurate insurance information, appropriate authorizations obtained, appropriate coding, accurate charges, identifying compliance and reimbursement related issues and accurate claims submission
Responsible for maintaining accurate, complete and timely documentation in electronic or hard copy form
Researches to the fullest extent and responds to inquiries and requests daily regarding auditing issues and problems and ad-hoc analysis for all PHS management
Identifies and disseminates solutions to audits by developing, implementing, and delivering knowledge, and technical training, for Presbyterian employees
Works with assigned business unit managers and staff to determine learning and training needs. Assesses the development and performance needs of the target audience
Develops learning and training materials, including participant workbooks, audio-visual materials, and facilitator guides
Identifies billing and collection practices that are inconsistent with contractual agreements and Government regulations
Summarizes findings with recommendations to Management
Identifies training needs regarding existing and new PHS guidelines. Works with Department Manager to ensure that new policies are incorporated
Assist with training by reviewing training material, critiquing the training class and communicating trends for re-training needs
Gathers and analyzes information to address and resolve business issues for a specific business group
Provides information to Management of discrepancies found
Maintain clear communication by responding to problems and inquiries via the telephone and e-mail
Maintains up-to-date working knowledge of all PHS business areas and IT applications
Participate in business unit meetings as an ad-hoc member to communicate trends and obtain up to date information
Assists in communicating and training HSL Staff on changes in procedures
Performs other functions as required

Qualification

Healthcare Revenue CyclePatient Accounting SystemsMedical TerminologyCritical ThinkingAttention to DetailMicrosoft OfficeVerbal CommunicationWritten CommunicationTeam Collaboration

Required

Associates Degree or equivalent years of college level courses required. Relevant years of experience may be used in lieu of college degree/education
Critical thinking and extreme attention to detail
Excellent organizational, problem solving, verbal, written communication and ability to interact with other functional areas required
Systems operations knowledge of at least one patient accounting system (Medipac, EPIC or Horizon Home Health) and other revenue cycle systems
PC experience with Microsoft Office Word and Excel
Demonstrated ability to work effectively in a team environment
Medical terminology, Cardiovascular terminology, ICD-9, CPT-4 and HCPCS knowledge required

Preferred

At least one year experience in healthcare related enterprise or Revenue Cycle business unit is Preferred

Benefits

Medical
Dental
Vision
Short-term and long-term disability
Group term life insurance
Other optional voluntary benefits

Company

Presbyterian Healthcare Services

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Presbyterian Healthcare Services exists to improve the health of patients, members and the communities they serve.

H1B Sponsorship

Presbyterian Healthcare Services has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (90)
2024 (86)
2023 (85)
2022 (93)
2021 (86)
2020 (76)

Funding

Current Stage
Late Stage

Leadership Team

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Dale Maxwell
President and CEO
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Ernest Sanchez
Chief Technology Officer
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Company data provided by crunchbase