Omada Health
Healthcare
RevenueCycleAnalyst
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“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.
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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