Note: The job is a remote job and is open to candidates in USA. Unified is a nationwide healthcare organization focused on delivering comprehensive women's health services through affiliated providers and healthcare operations. The Analyst, RCM Business Process Improvement & Integrations drives revenue cycle performance and process improvement initiatives, optimizing cash collections, operational efficiency, cost savings, and ROI. The role supports end-to-end revenue cycle functions, system integrations, automation, workflow redesign, documentation, training, and implementation support.
Responsibilities
- Analyze Revenue Cycle Management (RCM) workflows and lead performance improvement initiatives to optimize cash collections, reduce inefficiencies, improve reimbursement outcomes, and drive long-term cost savings
- Develop and manage RCM project plans, deliverables, and onboarding resources required for new business partners and other revenue cycle initiatives
- Create and maintain system configurations that impact revenue cycle functions through improvement opportunity identification, business partner additions, and requests received through a ticketing queue
- Define scope of work and improvement opportunities through discovery activities, stakeholder interviews, current state documentation, challenge identification, data collection, and analysis
- Document performance improvement initiatives, digital automation opportunities, business requirements, desk-level procedures, and process flow diagrams to support new workflows, revenue enhancement, and cost reduction
- Collaborate across impacted departments to drive improvement initiatives, including idea sharing, documentation development, progress tracking, follow-up, and implementation support
- Develop and deliver proposals, updates, training programs, knowledge transfer materials, and documentation repositories to support prioritization, ROI measurement, upskilling, system enhancements, functionality changes, and workflow redesign
- Serve as subject matter expert for internal and external-facing customers and provide hands-on go-live and post-go-live support for billing best practices, system settings, workflows, claim outcomes, and change initiatives
- Able and willing to work necessary hours to meet all project deadlines and travel when necessary
- Other duties as assigned
Skills
- Bachelor's degree in Business Management or other related field or equivalent work experience
- 4+ years of experience in healthcare industry revenue cycle
- Demonstrated process improvement / training experience required
- Intermediate Microsoft Excel
- Experience with Microsoft PowerPoint, Visio and Word
- Experience analyzing and interpreting data to draw conclusions and make recommendations
- Able to work independently with minimal guidance and as part of a team
- Demonstrated ability to document complex issues and processes in detail
- Able to communicate clearly and provide information or instruction to top level management, mid-level management, and employees
- Experience with operational workflow concepts, management-level reporting, control development and monitoring preferred
- Lean/Six Sigma training a plus
- Working knowledge of EDI transactions is desirable
Benefits
- Medical, dental, and vision plans, fertility benefits, and supplemental insurance options.
- Vacation, personal days, and paid holidays to help you recharge.
- 401(k) with employer contribution, plus Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).
- Short- and long-term disability, paid parental leave, basic life insurance, and optional additional coverage.
- Employee Assistance Program, commuter benefits, pet insurance, and identity theft protection.
- Opportunities and resources to support your career growth.
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