Senior RCM Analyst

About the Company

Provider of urgent and primary care centers for individuals in the Midwest, focused on an affordable approach to delivering urgent and primary care services. The Company’s primary focus is to provide a quality, convenient, and affordable healthcare option, with a specific focus on a more personal approach to care.

• Based in Chicago, IL
• Opportunity to get in at the ground floor of an innovative urgent and primary care delivery platform
• De novo/organic and acquisition strategy of key providers concentrated in the Mid-West

Job Summary

Midwest Express Clinic is seeking a Senior RCM Analyst to join its growing team. This is a newly created role. The Senior RCM Analyst will be an integral part of MEC’s financial infrastructure by creating and implementing policies and best practices, and oversee the RCM function to ensure that billing and collection activities are timely and accurate.

Midwest Express Clinic is seeking a results-oriented, roll-up their sleeves, individual for the Senior RCM Analyst role. This position will work with Management and Finance Team to operate and navigate a fast-paced, highly entrepreneurial, private-equity backed environment. Hybrid role located in Chicago, IL. 

The successful candidate will be responsible for the following:

• Design reporting to assure accurate and complete data analysis
• Expert-level proficiency in Excel and database experience (ex: PowerBI, Tableau, and SQL)
• Influence all revenue cycle processes, including developing, revising, and enforcing policies, goals, and best practices to effectively regulate the company receivables
• Drive the revenue cycle activities including billing, collections, payment posting, patient financial services, and other related items
• Advising on and managing vendor relationships around RCM 
• Ensure that departments, functions, and teams are operating in compliance with payer requirements and patient expectations, as well as the company’s policies and procedures
• Engage in cross-functional and interdepartmental teams involving process improvement initiatives and projects for the organization
• Oversee the performance metrics and monitor effectiveness of overall operations of RCM and Billing
• Tracks and monitors key performance indicators on a daily, weekly, and monthly basis; reports key findings to appropriate leadership and stakeholders across the organization in a timely, accurate manner
• Monitor claim denials and work with operations and clinical teams to identify and remedy issues
• Participate in integration and conversion of different EHRs from acquired companies into common EHR by business line
• Confirm systems and processes are in place to ensure compliance with payor contract requirements
• Execute plans to support operational departments to achieve best practice performance through strong analytical capabilities, process improvement identification, and technology enhancements
• Oversee the operations of the third party billing teams encompassing charge entry, claims submissions, accounts receivable follow-up, and reimbursement management
• Other duties as assigned

Personal Attributes

• Demonstrated ability to adapt to changing circumstances and environment, strong analytical, critical thinking and organizational skills, attention to detail and ability to identify and implement process improvement capabilities
• Strong, soft interpersonal skills with the ability to get cross-functional buy-in to drive change
• Self-starter, starting, and completing tasks without daily direction
• Experience and desire to work in an undefined, start-up environment
• Career-motivated professional who is self-confident, energetic and possess a strong work ethic

Special Proficiencies

• Ability to support growth and rapid integration in an acquisition environment 
• Strong understanding of insurance claim filing requirements and regulations for Primary Care

• Expert in charge posting, claim processing, and payment collections

• Effective at evaluating and streamlining processes to drive improved efficacy and efficiency

Education and Experience

• Bachelor’s degree, preferably in Operations, or Healthcare Administration
• 5+ years of experience in finance and/or operations with 2+ years in an RCM role within a healthcare system
• Experience in high growth, entrepreneurial companies
• High proficiency in experience with EHR/PM systems