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Revenue Analyst II, Provider Enrollment

Mass General Brigham (Enterprise Services)
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
May 22, 2025
Summary: Reporting to the Senior Manager of Revenue Cycle Enrollment, the Analyst will be responsible for delegated enrollment with payers to ensure compliance and billing readiness while maintaining oversight of enrollment files. This role will also assist with enrollment processes including delegated contracts, roster updates/assessments, operational analysis, and report monitoring to identify opportunities for workflow improvements. The Analyst will provide analytical and project management support, offering recommendations to enhance operational efficiency and enrollment processes. 1. Oversee delegated credentialing and enrollment functions, ensuring adherence to payer requirements and regulatory guidelines. 2. Maintain and update enrollment files, provider directories, and delegated rosters in accordance with payer contracts and organizational policies. 3. Identify areas of improvement for standardization of enrollment data and documentation of enrollment related activities. 4. Perform root cause analysis to identify deficiency trends in the facility and delegated enrollment process. 5. Develop and maintain a working knowledge of all core systems (Epic) and ancillary systems (MD Staff, iPort, etc.) 6. Review avoidable write-off trends and identify & implement opportunities to reduce avoidable write-offs 7. Act as a liaison between Revenue Cycle Enrollment, payers, and internal stakeholders to streamline facility and delegated enrollment processes. 8. Serves as the department contact for facility enrollment and delegated enrollment with requests and questions. 9. Collaborates with other Revenue Cycle Operations staff, Compliance, CCO, Contracting, Digital, and any other departments required for enrollment initiatives. 10. Monitor, track, and report on enrollment timelines, identifying delays and implementing process improvements to enhance efficiency. 11. Assist in developing and maintaining enrollment workflows, policies, and procedures for facility and delegated enrollment functions. 12. Provide support for audits and ensure all enrollment-related documentation meets payer and regulatory requirements. 13. Participate in payer meetings and contract negotiations to advocate for streamlined facility and delegated enrollment processes. 14. Support special projects related to enrollment, including system integrations, policy updates, and process enhancements. Education Bachelor's Degree Finance preferred Can this role accept experience in lieu of a degree? Yes Licenses and Credentials Experience Experience in payer enrollment functions preferred. 2-3 years preferred. Knowledge, Skills and Abilities - Excellent analytical skills and attention to detail. - Excellent communication skills and ability to effectively present data to revenue management and external department leaders. - Self-motivated, self starter, and needs to be able to work independently. Resourceful and able to take initiative; take-charge ability, including knowledge of resources to answer questions and find required data and information - Must be extremely well organized and have solid time management skills in order to handle multiple tasks simultaneously under sometimes tight deadlines Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.