Full Job Description
Position Summary The Senior Revenue Cycle Analyst provides support to the revenue management department as a knowledge expert on revenue cycle processes and technology solutions. The position participates in the identification, development and execution of revenue cycle processes and technology solutions. The position collaborates with other departments and external vendors to problem solve and escalate any issues within the revenue cycle functions. The Analyst assists with various process improvements and process reviews, implementing changes as recommended utilizing Children's LEAN methodologies. The position is also responsible for setup, maintenance, and upgrades of Children's revenue cycle.
Qualifications:
License/Certification/Registration required? No Education: *Bachelor's degree or Associate's degree in Healthcare Management, Information Systems, or Business Administration required Experience: *5-8+ years experience working in revenue management within a healthcare system, insurance industry or government organization Knowledge/Skills/Abilities: *Past system support experience, requirements gathering, and user acceptance testing to include monitoring of data imports, provision of basic system maintenance, documentation of work flows and coordination with vendor for maintenance and escalation *Ability to develop training documentation and provide training to end users *Ability to research patient accounts within the system and recreate outcomes *Ability to project manage system roll outs, design and test enhancements, prioritize requests and escalate issues *Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere *Detail-oriented, good organizational skills, and ability to be self-directed *Flexibility to perform other tasks as needed in an active work environment with changing work needs *High-level problem solving, analytical, and investigational skills *Ability to learn quickly and meet continuous timelines *Excellent customer service through oral and written communication *Knowledge of third party payer contract terms and reimbursement methodologies (DRG, APR DRG, APC, EAPC, fee schedules, modifier reductions, etc.) including MN and WI Medicaid *Knowledge of healthcare billing system functions (scheduling, registration, point of service collection, charge capture, coding, claim submission, payment follow up, self pay collection, agency placement) *Knowledge of hospital and clinic billing rules, claim edits, use of modifiers, authorization and certification requirements, CCI edits and Medicare MUE edits *Knowledge of HIPAA privacy standards and PCI compliance regulations *Knowledge of LEAN methodologies and process improvement techniques *Exhibits behaviors consistent with principles of excellent service *Exhibits behaviors consists with standards of performance improvement and organizational values (e.g., efficiency and financial responsibility, safety, partnership and service, teamwork, compassion, integrity, and trust and respect) *System knowledge of Cerner, GE Centricity Business and eClinical Works preferred *Proficient in Microsoft Office products as well as Visio Physical Demands Please click here to view the Physical Demands The posted salary represents a market competitive range based on salary survey benchmark data for similar roles in the local or national market. Annual salaries displayed are based on full-time employment (40 standard hrs per week). Annual salaries for part-time positions will be prorated based on the employee's scheduled weekly hours in relation to the full-time standard. When determining individual pay rates, we carefully consider a wide range of factors including but not limited to market indicators for the specific role, the skills, education, training, credentials and experience of the candidate, internal equity and organizational needs. In addition to your salary, this position may be eligible for medical, dental, vision, retirement, and other fringe benefits. Positions that require night, weekend or on-call work may be eligible for shift differentials or premium pay. All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification.
