Analyst - Revenue Cycle

Requisition ID
2020-133691
Employment Type
Full Time
Department
Revenue Cycle Management
Hours / Pay Period
80
Shift
Day
Standard Hours
Days
Facility / Process Level : Name
CHI Baylor St. Luke's Medical Group
Location
TX-THE WOODLANDS

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

Responsibilities

This job is responsible for developing in-depth and complex financial analyses in support of the Texas Division Physician Enterprise Revenue Cycle function and for the development/maintenance of advanced ad hoc reports/databases consistent with industry standards, internal policies/procedures and general requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow-up, cash management, credits/refunds, charge/payment posting, coding and clinic customer service. An incumbent interprets/analyzes report content and develops presentations for key stakeholders, including providers, clinic management and organizational leadership. Strong communication, analytical and critical thinking skills are required for timely report generation/distribution through use of computer-based applications and data.
Work also includes: 1) developing/maintaining Key Performance Indicator (KPI) dashboards, reimbursement and payer mix analyses and clinic/business operational reports; 2) interpreting/explaining report findings to clinic management/organizational leadership and recommending process improvements; 3) serving as principle liaison between business operations leaders and Information Technology (IT), facilitating technology/tools enhancements and system maintenance/modification; and 4) providing training/guidance to other Revenue Cycle staff with regard to reporting, analytics and related tools.

 

 

  • Gathers information for various financial projects, including payer contract negotiations, payment variance analysis, and reimbursement analysis; runs ad hoc reports as needed; performs in-depth analysis; summarize results and recommendations.
  • Identifies, researches and resolves (within position scope) unusual, complex or escalated issues through critical thinking and problem solving skills; notifies Manager/Director of ongoing issues and concerns.
  • Independently performs complex research, compiles financial analyses, and develops detailed spreadsheets and presentations; prepares in-depth analyses focused on accuracy, reliability, and timeliness; provides/presents interpretation of findings to senior leaders, colleagues, clinic leaders , and/or physicians.
  • Develops analyses and reports to support key initiatives, including identification and recommendation of improvements to existing processes, with timely follow-through as appropriate.
  • Monitors weekly performance metrics and completes root cause analyses to identify metric improvement opportunities related to regional revenue cycle activities.
  • Provides management with weekly/ monthly, quarterly, and annual updates/summaries of key performance indicators for identified departments.
  • Monitors ad hoc reporting requests and responds to/fulfill requests within pre-determined service timeframes.
  • Analyzes department/team activities and trends and compares findings against the service standards and industry best practices.
  • Consolidate and analyze financial data to do comparative analyses (forecasting and variance analysis) taking into account company’s goals and revenue cycle financial standing.
  • Maintain department standard of productivity metrics related to claims processed, claims rejected, claims denied, collection volume and rates relative to fee schedules, patient payments, account write-offs due to contractual issues and collections problems.
  • Provide assistance in creating and monitoring models that connect strategies to measures of performance that ensure successful reporting of revenue cycle AR Work with IT, Financial Data Warehouse, and Managed Care to develop dashboards and metrics tracking.
  • Other duties as assigned by management.

Qualifications

Education and Licensure Required:

  • Bachelor’s degree from an accredited University

 

Minimum Experience:

  • 5+ years accounting, finance, finance analytics or similar experience with 3 years of experience in healthcare financial and revenue cycle analysis.
  • Experience in Financial Reporting System - People Soft, SQL, Essbase, Tableau, Lawson and Baseware.

Minimum Knowledge, Skills, and Abilities:

  • Strong Data Mining/ Business Systems proficiency Multidimensional Billing systems technology platforms – example: EPIC and Centricity experience.
  • 3 plus years of work analysis experience supporting larger groups.
  • Ability to review and manage project based assignments.
  • Strong analytical and organizational skills.
  • Quantitative, with strong attention to detail and high degree of comfort with large data volumes.

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