Omada Health

Healthcare

RevenueCycleAnalyst

$79–104k United States Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Entry candidates.

The Brief

“Revenue Cycle Analyst at Omada Health. Skills: Revenue Cycle Management, Excel, Communication. Execute, document, and improve RCM function. Develop effective methods and tools”

What You'll Achieve.

Drive cash collections; Ensure claims are recovered in a timely fashion; Ensure payers are impressed with service; Support participant health focus; Further Omada’s financial growth; Achieve team Accounts Receivable goals; Achieve team Bad Debt Reserve goals

Industry & Context.

Healthcare
Problems you'll solve

Identify and propose enhancements to workflows based on data, trends, and user feedback; Investigate, document, and follow up on denials and underpayments; Investigate, document, and execute refunds

What They're Looking For.

Must Have

1 - 3 years’ experience executing revenue cycle management in a healthcare setting, Knowledge of the US healthcare system, Knowledge of industry terminology (e. g. CPT and ICD-10 diagnosis codes), Knowledge of best practices, Advanced proficiency in Excel, Excellent written and verbal communication skills, Comfort working with both technical and non-technical stakeholders, Ability to juggle both proactive scheduled tasks along with reactive escalations

Nice to Have

Experience working with or for a healthcare clearinghouse, Understanding of Accounting principles, Knowledge of digital health, Knowledge of a startup work environment, Experience in SQL, Experience in Tableau

What You'll Do.

and improve RCM function

Develop effective methods and tools

Process data and drive cash collections

Ensure robust billing processes

Ensure efficient collection processes

Recover claims in a timely fashion

Refine company processes and practices

Assist with end-to-end billing process

Assist with RCM payer implementations

Communicate with clearinghouse

Increase efficiency of RCM systems

Propose workflow enhancements

Support testing and rollout

Integrate with billing model

Educate internal stakeholders

Maintain process documentation

Maintain standard operating procedures

Handle HIPAA-compliant initiatives

Respond to operational questions

Support cross-functional teams

Investigate denials and underpayments

Investigate and execute refunds

Achieve AR and Bad Debt goals

Perform bank and claim reconciliation

Complete revenue integrity checks

Complete recurring work queues

How You'll Work.

Team & Collaboration

Work directly with internal and external stakeholders; Participate in cross-functional efforts; Work with payers to integrate; Educate internal stakeholders; Respond to operational questions across email, Slack, and ticketing tools; Ensure cross-functional teams have support

Communication Scope

Excellent written and verbal communication skills; Comfort working with both technical and non-technical stakeholders

Full Job Description

Omada Health is on a mission to inspire and engage people in lifelong health, one step at a time. Job overview: Omada Health is seeking a Revenue Cycle Analyst to execute, document, and continuously improve Omada’s Revenue Cycle Management (RCM) function. The Analyst will be expected to understand Omada’s RCM framework and work with the RCM team in developing effective methods and tools to process data and drive cash collections. You will work directly with both internal and external stakeholders to ensure robust billing and efficient collection processes are in place to support our mission. Your work will ensure that Omada recovers its claims in a timely fashion, our payers are impressed with our service, and our participants can focus on improving their health. This position will be at the forefront of refining the company’s processes and practices to further Omada’s financial growth. Your impact: Process and Systems Implementation Assist team on a smooth end-to-end billing process Assist with any new RCM payer implementations Assist with communication to Omada’s clearinghouse on new connections and any claims management issues Participate in cross-functional efforts to increase efficiency and effectiveness of RCM systems and processes Identify and propose enhancements to workflows based on data, trends, and user feedback Support testing, validation, and rollout of new or updated RCM processes to ensure accuracy and compliance Documentation, training, and ongoing communication Work with payers to integrate with Omada’s unique billing model and educate internal stakeholders Maintain clear, up-to-date process documentation and standard operating procedures (SOPs) for RCM workflows Ensure all policies, procedures and initiatives are handled in a HIPAA-compliant fashion Respond to operational questions across email, Slack, and ticketing tools Ensure cross-functional teams have the support they need to complete requests RCM Operations Investigate, document, and follow

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