Job Description

The Financial Business Systems Analyst supports the analysis, development, maintenance, testing, and enhancement of healthcare finance, claims processing, revenue cycle, and billing systems. This role requires hands-on experience with patient financial data-including charges, reimbursements, payments, adjustments, and denials-as well as a strong understanding of healthcare financial operations and transactional data.

The ideal candidate is comfortable working with financial numbers, analyzing complex data flows, identifying discrepancies, improving processes, and partnering with Finance, Information Services, Revenue Cycle, and Operations teams. Experience with Epic Revenue Cycle applications and healthcare clearinghouses is highly preferred.

• Analyze patient financial data, including charges, reimbursements, payments, contractual adjustments, denials, refunds, write-offs, and accounts receivable activity.
• Automate recurring reports and develop ad hoc financial, claims, billing, and revenue cycle reports.
• Create and maintain Excel workbooks using pivot tables, pivot charts, interactive graphs, formulas, lookups, conditional logic, data validation, and other analytical tools.
• Develop dashboards and reports that track revenue cycle performance, claims status, rejections, payments, reimbursements, and other key financial metrics.
• Review financial transactions and patient account activity to identify discrepancies, unusual trends, posting errors, and opportunities for corrective action.
• Analyze data and process flows between healthcare applications, clearinghouses, financial systems, and enterprise data warehouses to support accurate and timely data transfer.
• Conduct audits and transactional reviews to validate data accuracy, financial integrity, compliance, and adherence to established procedures.
• Monitor claims submitted to clearinghouses, investigate rejections and discrepancies, and coordinate resolution of claim submission issues.

*Local candidates or those willing to relocate to Los Angeles are preferred; remote candidates may be considered in Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, or Texas*

Qualifications

Experience Requirements:

Five (5) plus years of experience in healthcare revenue cycle systems, healthcare financial systems, system analysis, data processing, or a related field.

Direct experience working with patient financial data, including charges, reimbursements, payments, adjustments, denials, or accounts receivable.

Healthcare environment experience is required, preferably in an Epic environment.

Demonstrated ability to understand, analyze, reconcile, and communicate financial numbers and transactional data.

Advanced Excel skills, including the ability to create and interpret pivot tables, pivot charts, interactive graphs, complex formulas, lookups, and data analysis workbooks.

Experience investigating data discrepancies, performing audits, and reviewing financial transactions for accuracy and completeness.

Strong analytical, problem-solving, organizational, and communication skills.

Ability to work effectively with Finance, Revenue Cycle, Information Services, Operations, and other cross-functional teams.

Educational Requirements:

High School Diploma/GED required.

Bachelor's degree in Finance, Business, Information Systems, or a related field preferred.

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