Revenue Performance Associate

Texas Children's Hospital • Full-time • Houston, TX, US • 6d ago

Job Description

We’re looking for a Revenue Performance Associate, someone who’s ready to grow with our company. In this position you will serve as the primary point of contact between clinical dyads/division groups and the Revenue Cycle. The Revenue Performance Associate will be responsible for facilitating conversation and deep analytics as it relates to Revenue Cycle functions and metrics including (but not limited to): monthly charges, collections, denials, wRVU analyses, service mix shift, and CPT utilization. The Revenue Performance Analyst will bring clinical operations, Revenue Cycle, Information Technology (IT) and other resources together as necessitated to advance process improvement initiatives and is responsible for facilitating conversation and deep analytics as it relates to Revenue Cycle functions and metrics

including: monthly charges, collections, denials, service mix shifts, CPT utilization, physician education, coding, charge capture, and more. This role requires a proactive problem solver, adept at investigating through analytical and process-oriented means areas of opportunity to ultimately improve and maximize collections for clinical services rendered by providers. Communication of Revenue Cycle's performance, identification of improvement opportunities and potential solutions for resolution are core duties of the Revenue Performance Associate.

Think you’ve got what it takes?

Job Duties & Responsibilities

Identify and monitor departments with charge capture and denial issues and develop processes for improvement.
Runs revenue data/analytics to support revenue monitoring, issue investigation and resolution.
Coordinates efforts with stakeholders, including the Epic IT team, to resolve any build issues related to charge capture.
Researches and analyzes trends with net-to-expected collections, payer mix, days in AR, and reimbursement risks.
Identifies opportunities to automate charge capture, when appropriate.
Serve as the contact and advocate to assigned Service Line leadership for all Revenue Cycle processes and workflows.
Manage key Revenue Cycle performance indicators (KPIs) through data driven analytics for clinical dyad/division group assignments.
Builds partnerships and collaboration through collaboration for clinical dyad/division group Assignments.
Track and trend denials metrics coordinate with clinical staff and revenue cycle areas to get support for appeals and recommend system changes where applicable.

Skills & Requirements

Bachelor's Degree business administration, health information management, healthcare administration, applied sciences, communications, or other business or healthcare-related field required
Master's Degree business administration, healthcare administration or a related field preferred
5 years data/analytics experience, including at least one year of Revenue Cycle experience (e.g. Revenue Integrity, Billing, Coding, Denials, Follow-Up, Patient, Accounts, Payment Operations) required
Four (4) additional years of work experience within a healthcare or managed care organization may substitute for the bachelor's degree requirement

About Us

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.

Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children ’ s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children ’ s Hospital West Campus, a community hospital in suburban West Houston; Texas Children ’ s Hospital The Woodlands, the first hospital devoted to children ’ s care for communities north of Houston; and Texas Children’s Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children ’ s Health Plan, the nation ’ s first HMO focused on children; Texas Children ’ s Pediatrics, the largest pediatric primary care network in the country; Texas Children ’ s Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children ’ s Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.