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Duties and Responsibilities of a Revenue Cycle Analyst

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Nyongesa Sande
Nyongesa Sande
Nyongesa Sande is a Kenyan blogger, Pan Africanist,c olumnist Political Activist , blogger, informer & businesman who has interest in politics, governance, corporate fraud, human rights and television personality.

Revenue Cycle Analysts conduct quantitative analyses of information involving investment programs or financial data of public or private institutions, including valuation of businesses. Analyze and measure exposure to credit and market risk threatening the assets, earning capacity, or economic state of an organization. May make recommendations to limit risk. All financial specialists not listed separately.

Revenue Cycle Analyst Duties

  • Promote excellent public relations with the patient community by leading the revenue cycle department with a high standard of performance
  • Ensure all staff members are certified and educated in all billing and coding requirements
  • Ensure accurate patient billing and coding while monitoring patient liabilities
  • Support the accounts receivable team by ensuring a steady cash flow
  • Investigate and resolve billing discrepancies and problems
  • Track and maintain all administrative forms, insurance forms, and protocols
  • Research and negotiate rates, contracts, and service agreements with healthcare providers
  • Supervise and motivate all billing and coding staff
  • Assist the medical director in ensuring compliance to all accreditation and regulatory standards
  • Develop and maintain excellent financial controls
  • Ensure the organization complies with all billing and insurance laws and regulation

Revenue Cycle Analyst Responsibilities

  • Develop and maintain a revenue cycle for patient billing and collections
  • Review and update patient demographics, insurance eligibility, and other patient account records
  • Recognize and help resolve patient account issues, denials, and problems to ensure timely and accurate payments and resolution of all patient issues
  • Develop, implement, and maintain billing and collection processes
  • Maintain awareness of regulatory requirements and other changes affecting the revenue and revenue cycle
  • Meet revenue cycle budget and sales goals

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