Why ThedaCare?   

Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. 

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility.  A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits, with a whole-person approach to wellness –

• Lifestyle Engagement
  • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support  

• Access & Affordability
  • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary :

The Physician Revenue Cycle Analyst is responsible for creating revenue cycle reports, analyzing data, identifying opportunities to maximize collections, and assisting with the implementation of revenue cycle initiatives that leverage technology and improve revenue cycle performance. The analyst will develop relationships with team members and leaders across the healthcare organization to proactively mitigate reimbursement gaps.

Job Description:

Job Responsibilities:

• Analyze billing, claims, and collections data to identify trends, root causes, and reimbursement opportunities.
• Create reporting tools such as dashboards, payer and revenue cycle scorecards to efficiently and effectively monitor and communicate revenue cycle performance.
• Partner with revenue cycle functional teams to root cause and mitigate denial write offs. 
• Create monthly Revenue Cycle KPI reports and partner with operational leaders to drive upstream workflow improvement. 
• Create ad hoc revenue cycle reports to support strategic initiatives. 
• Monitor charge reconciliation reports and collaborate with operational leaders to ensure charges are captured for services performed.    
• Partner with cross-functional departments such as IS, Data Analytics, Managed Care, Finance, and Revenue Integrity to root cause and solve reimbursement gaps.
• Identify and recommend revenue cycle strategic opportunities that optimize revenue cycle performance and support business scalability. 
• Audit claims to ensure accurate and compliant billing. 
• Assist revenue cycle leaders with the implementation of projects to leverage technology, improve productivity, and reduce defects. 
• Maintain a thorough understanding of payer-specific reimbursement policies to assist in the proactive identification of changing requirements to mitigate denials.
• Occasional travel for meetings, conferences and collaboration.
• Other duties as assigned.

Qualifications:

• Minimum 5 years of progressive experience in revenue cycle with 3 years specific to physician revenue cycle.  Preferred; Bachelor’s degree in healthcare administration, Business, Finance, or a related field.
• Strong understanding of billing, payor and reimbursement processes. Preferred Familiarity with telehealth billing requirements across commercial and government payers.
• A collaborative and proactive problem-solver with exceptional communication, presentation and interpersonal skills.
• Excellent technical and analytical skills.
• Proven ability to work independently.
• Strong Excel and PowerPoint skills.
• Demonstrates excellent time management with the ability to prioritize and thrive in a fast paced, growth environment. 
• Knowledge of healthcare regulations and compliance requirements.
• Required:  Experience with Epic practice management system.
• Preferred: Experience with reporting tools such as Tableau, Power Bi, Slicer Dicer, etc.

Qualities:

• Ability to support, advance and live our mission and evidence of such:
  • Mission – Our reason for Being - To advance the health of our communities through excellence and discovery, inspiring each person to live their unique best life
• Ability to support, advance and work toward our vision and evidence of such.
  • Vision - Who we Aspire to be - To be your trusted partner, transforming health care for everyone every day
• Commitment to and evidence of demonstrating our guiding principles.

Scheduled Weekly Hours:

40

Scheduled FTE:

1

Location:

CIN 3 Neenah Center - Appleton,Wisconsin

Overtime Exempt:

Yes