Operations Analyst
The Operations Analyst will support all aspects of Operations, Revenue Cycle and Analytics. Assist Director of Analytics in full analysis of clinical operations and revenue cycle.
ESSENTIAL FUNCTIONS
- Produce analytics to support clinical operational efficiency planning.
- Provide oversight and perform detailed analysis of the revenue cycle exceptions portal to ensure timely and accurate issue resolution
- Maintain and support internal Quantum Radiology databases and front-end user interfaces
- Develop and deliver reporting on overall revenue cycle performance.
- Conduct variance analysis for newly onboarded providers and payers to validate proper enrollment, reimbursement, and payment accuracy
- Perform monthly denial management reviews to identify trends, root causes, and improvement opportunities
- Review contractual variances and identify underpayments in accordance with payer agreements
- Maintain payer contracts, ensure contractual escalators are implemented correctly, and manage ongoing payer relationships
- Meet weekly with the COO to review revenue cycle issues, escalation items, and required follow-up actions
- Manage patient inquiries via phone and website channels, ensuring timely and professional responses
- Prepare, submit, and track revenue cycle corrections, coordinating closely with hospital departments as needed
- Analyze claims data for accuracy, completeness, and appropriate reimbursement; ensure correct patient demographic and insurance information is submitted and coordinate follow-up with the outsourced billing vendor for non-hospital-based business monthly
- Participate in Radiology Revenue Cycle meetings and industry conferences, with minimal travel required
MINIMUM ELIGIBILITY REQUIREMENTS
- BA/BS with Quantitative Focus preferred
- Graduate work preferred
- Knowledge of database & analytical skills, SQL, Python, SAS
- Proficient with all Microsoft Office programs, primarily Excel for data analysis purposes
- Strong communication skills both oral and written
- Medical experience a plus
- Tableau experience a plus