Position Overview:

The A/R Analyst reports to the Director of Operations and leads the analytical oversight of accounts receivable operations while providing strategic support to the A/R team. This role combines data analysis, process optimization, and team coordination through facilitating continuous training for established team members and newly hired team members and having an active role in End of Month processes to drive revenue cycle performance through evidence-based decision making.

Responsibilities:

• Provides analytics & reporting to the Director of Client Operations through the following:
  • Analytics & Reporting:
    • Conducts comprehensive A/R analysis including
      
      • Denial management and root cause analysis
      • Out of period adjustment (OOPA) trends and impact assessment
      • Account inventory management and new facility onboarding audits
      • Cash flow optimization analysis
      • Payer behavior trending and pattern analysis
    • Develop and maintain analytical dashboards for key performance metrics
    • Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution.
    • Completes routine Q/A reviews of work completed based on standard policies & procedures utilizing internal reporting tools
    • Ensures compliance with state and federal laws and regulations
  • Process Optimization & Strategy
    • Serves as a Subject Matter Expert of A/R processes and reimbursement methodologies
    • Provides expert guidance on respective clients, regional payer trends and overall client specifics
    • Identify and implement improvements based on analytical findings
    • Coordinate with offshore team to optimize workflow and ensure data accuracy
    • Maintains thorough understanding of health insurance and government programs, when necessary
  • Team Development & Coordination:
    • Analyzes departmental training requirements and collaborates with the training team to implement data-driven quality assurance programs
    • Assists with onboarding and training new team members on A/R processes and reimbursement methodologies
    • Coordinate cross-functional initiatives between coding, billing, and cash applications teams
    • Monitors collection processes to determine cash flow improvement opportunities
    • Assists with generating, organizing and disseminating Month End reporting, narratives and summaries to clients. 

Qualifications:

• Candidate will be required to meet critical deadlines
• Intermediate to expert level understanding of facility billing either related to ASC or outpatient hospital
• Knowledge of typical payer guidelines related to billing, both paper and electronic claims
• Understanding of revenue cycle processes, cause and effect on A/R and cash results
• Ability to extract and analyze data, provide recommendations and insight to NSN leadership and clients
• Ability to lead, manage projects and staff to achieve goals
• Understanding of system and business processes, as well as healthcare financial issues.
• Experienced in examining and reengineering operations and procedures. Able to identify and implement solutions.
• Strong technological understanding and appreciation for the automation of all functions related to the revenue cycle, and the engagement of the customer in that automated process. Experience working collaboratively with IT will be important
• Desire to motivate, inspire positive outcomes and deliver excellent results
• Intermediate knowledge Word, Excel, PowerPoint, and Outlook
• Must have at least 2 years’ experience with ASC revenue cycle functions
• Excellent communication skills using proper English grammar
• Must possess a positive attitude to enhance a cooperative and energetic work environment
• Experience with Vision, AdvantX, gGastro, HST, SIS Complete and/or Waystar are helpful