Senior Revenue Cycle Analyst – Billing
UHS
Summary
The Corporate Revenue Cycle Department is seeking a dynamic and talented Senior Revenue Cycle Analyst – Billing. As a Senior Revenue Cycle Analyst, you'll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams (e.g., registration, billing, charging, coding, collections, and denials management) to streamline processes, reduce and recover denials, and optimize cash flow; and analyzing and monitoring revenue cycle metrics to identify trends, variances, and opportunities for improvement. Senior Revenue Cycle Analysts take initiative and work with limited oversight, including patient account reviews, system maintenance, data analysis, and process improvement activities. Senior Revenue Cycle Analysts supporting Billing functions are responsible for overseeing billing operations within the Central Business Offices; managing clearinghouse and claims scrubber vendors, conducting data analysis to identify opportunities to improve compliant claims submission, maximize revenue, accelerate cash collections; resolving complex billing and claims issues timely; reviewing and opining on government and payer billing requirements; and facilitating communication between internal end users and vendors.
Job description
Key Responsibilities
- Monitors the daily status of claim submissions, including file transmissions, exports and imports via the clearinghouse vendor, and claim rejections
- Supports electronic payment enrollments (EFT / ERA) for new payers and new facilities to maximize 835 remittance receipt and posting
- Manages and prioritizes open items with the clearinghouse vendor, including new bridge routines, claim edits, and new facility and service additions
- Supports new facility openings, new technology system implementations, and new service additions
- Reviews billing and cash posting staff requests for compliance with government and payer requirements and recommends compliant solutions
- Works with leadership and the Central Business Offices to improve the clean claim rate, minimize claim rejections, and facilitate timely payment
Qualifications
A Senior Revenue Cycle Analyst should have 5-8 years of relevant experience and a Bachelor's degree in business, finance, healthcare administration, health information management, or similar. A Senior Analyst should possess an intermediate knowledge of revenue cycle operations, including an understanding of registration, charging, billing, collections, and denials management processes. A candidate should also have experience working in a patient accounting system, using available online tools for claims and EOB review, and reviewing claim bills and remittances in document imaging systems. A highly qualified candidate should also have experience managing projects and vendors, delivering data-driven solutions, supporting process improvement initiatives, and mentoring junior team members. A qualified candidate should have strong professional written and verbal communication skills, proficiencies in Microsoft Office tools (e.g., Word, Excel, etc.), and the ability to meet deadlines and multitask. Significant Revenue Cycle experience (i.e., 5+ years in addition to the minimum) might be accepted in lieu of certain college education requirements. Travel Requirements: Up to 15% domestic travel dependent on business needed.
Requirements
- 5-8 years of relevant experience
- Bachelor's degree in business, finance, healthcare administration, health information management, or similar
- Intermediate knowledge of revenue cycle operations, including registration, charging, billing, collections, and denials management processes
- Experience working in a patient accounting system
- Experience using online tools for claims and EOB review
- Experience reviewing claim bills and remittances in document imaging systems
- Experience managing projects and vendors
- Experience delivering data-driven solutions
- Experience supporting process improvement initiatives
- Experience mentoring junior team members
- Strong professional written and verbal communication skills
- Proficiencies in Microsoft Office tools (e.g., Word, Excel, etc.)
- Ability to meet deadlines and multitask
Benefits
- Medical, Dental & Vision
- Prescription Drug Plan
- 401(k) Matching
- Paid Time Off
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.