Revenue Cycle Analyst
OverviewCoordinates information systems of registration (patient access), billing and collection functions of DCH Health System.
Assists the Assistant Director of Patient Access in analyzing patient accounts and revenues to maximize cash flow and efficiency to meet system, facility and departmental objectives and maintain a high level or customer satisfaction.
Ensure a sound knowledge of quantitative data analysis and be able to translate into informed business decisions that optimize DCH and department's strategic objectives.
This position will work directly with both Patient Access and Patient Accounting to report and find improvement opportunities related to strategic and operational goals.
ResponsibilitiesConducts routine audits to ensure the integrity of data coming from Electronic Health Record (EHR) into the external billing system.
Maintains EHR patient access dictionaries including building queries and worklists.
Develops and implements improved revenue cycle processes and procedures related to patient intake, authorization and timely bill processes.
Defines and documents patient access data sources of truth and definitions per project.
Prevents payment delays by ensuring dictionary account settings are setup and tested in a timely manner.
Works downtimes as needed and tests for EHR upgrades.
Identifies and performs root cause analysis for process or workflow issues that impact reimbursement.
Discovers inefficiencies and recommends alternative options to the Assistant Director and Director of the department regarding operational improvement.
Assists in developing policies and procedures for patient access.
Maintains third party systems and works directly with vendors to achieve optimal outcomes.
Cross trains with the Revenue Integrity Project Analyst to serve as backup in absence.
These two positions will work closely together to identify improvements affecting the complete revenue cycle.
Assist the patient accounting Senior Informaticist in building automated account checks to prevent claims from leaving the institution in error.
Jumps in to assist in completing account checks and clearinghouse worklists to get claims accurate to go out to the payer.
Provides technical and strategic input to leadership team to help drive transformational changes.
DCH Standards:
Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
Requires use of electronic mail, time and attendance software, learning management software and intranet.
Must adhere to all DCH Health System policies and procedures.
All other duties as assigned.
QualificationsBachelor's degree or two-years' experience in healthcare required.
Strong analytical, mathematical and report writing skills.
Must be proficient with Word, Excel and PowerPoint.
Excellent communication and interpersonal skills.
Must be able to read, write legibly, speak, and comprehend English.
WORKING CONDITIONSWORK CONTEXTCommunication through talking, expressing and exchanging ideas by means of the spoken word.
Hearing; perceiving the nature of sounds by the ear in order to communicate.
Seeing; use of vision to determine characteristics of objects, depth perception, color vision with the ability to distinguish color, coding on ledgers, near/far activity 100% daily.
Ability to figure complex computations and communicate these figures to the public.
Mental capability to maintain patient confidentiality 100% of the time.
PHYSICAL FACTORS Working indoors in a cubical area, sitting 80% of the time, standing 5%, kneeling 2.
5%, squatting/crouching 2.
5%, stooping 5%, and walking 5%.
Activities include lifting of 35 lbs.
maximum which would be a two (2) man lift, frequent lifting and/or carrying 20 lbs.
occasionally.
Ability to push or pull over carpet floors, concrete ramps and on varied surfaces, a four wheel cart with 50 lbs.
of paperwork.
Filing ledgers or finding ledgers requires reaching, pushing, pulling, extending the hands and arms in any direction.
Stooping and bending the body forward by bending the spine at the waist.
To reach lower areas requires kneeling by bending the legs at the knee of crouching by bending the body downward and/or forward by bending the legs and spine.
This is 50% of daily work.
Organizing charts requires handling of papers by holding, grasping and turning, with picking up and pinching as finger movements.
This is a repetitious procedure that is constantly being done.
Must be able to perform the duties with or without reasonable accommodation.
Hearing and vision must be normal or corrected to within normal range.
Position is hybrid and allows for remote work capabilities.
OTHER JOB FACTORSJob requires orientation to detail, accountability and ability to interact with customers when the communication may be discourteous or unpleasant.
Recommended Skills Analytical Auditing Billing Claim Processing Customer Satisfaction Filing Estimated Salary: $20 to $28 per hour based on qualifications.
Assists the Assistant Director of Patient Access in analyzing patient accounts and revenues to maximize cash flow and efficiency to meet system, facility and departmental objectives and maintain a high level or customer satisfaction.
Ensure a sound knowledge of quantitative data analysis and be able to translate into informed business decisions that optimize DCH and department's strategic objectives.
This position will work directly with both Patient Access and Patient Accounting to report and find improvement opportunities related to strategic and operational goals.
ResponsibilitiesConducts routine audits to ensure the integrity of data coming from Electronic Health Record (EHR) into the external billing system.
Maintains EHR patient access dictionaries including building queries and worklists.
Develops and implements improved revenue cycle processes and procedures related to patient intake, authorization and timely bill processes.
Defines and documents patient access data sources of truth and definitions per project.
Prevents payment delays by ensuring dictionary account settings are setup and tested in a timely manner.
Works downtimes as needed and tests for EHR upgrades.
Identifies and performs root cause analysis for process or workflow issues that impact reimbursement.
Discovers inefficiencies and recommends alternative options to the Assistant Director and Director of the department regarding operational improvement.
Assists in developing policies and procedures for patient access.
Maintains third party systems and works directly with vendors to achieve optimal outcomes.
Cross trains with the Revenue Integrity Project Analyst to serve as backup in absence.
These two positions will work closely together to identify improvements affecting the complete revenue cycle.
Assist the patient accounting Senior Informaticist in building automated account checks to prevent claims from leaving the institution in error.
Jumps in to assist in completing account checks and clearinghouse worklists to get claims accurate to go out to the payer.
Provides technical and strategic input to leadership team to help drive transformational changes.
DCH Standards:
Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
Requires use of electronic mail, time and attendance software, learning management software and intranet.
Must adhere to all DCH Health System policies and procedures.
All other duties as assigned.
QualificationsBachelor's degree or two-years' experience in healthcare required.
Strong analytical, mathematical and report writing skills.
Must be proficient with Word, Excel and PowerPoint.
Excellent communication and interpersonal skills.
Must be able to read, write legibly, speak, and comprehend English.
WORKING CONDITIONSWORK CONTEXTCommunication through talking, expressing and exchanging ideas by means of the spoken word.
Hearing; perceiving the nature of sounds by the ear in order to communicate.
Seeing; use of vision to determine characteristics of objects, depth perception, color vision with the ability to distinguish color, coding on ledgers, near/far activity 100% daily.
Ability to figure complex computations and communicate these figures to the public.
Mental capability to maintain patient confidentiality 100% of the time.
PHYSICAL FACTORS Working indoors in a cubical area, sitting 80% of the time, standing 5%, kneeling 2.
5%, squatting/crouching 2.
5%, stooping 5%, and walking 5%.
Activities include lifting of 35 lbs.
maximum which would be a two (2) man lift, frequent lifting and/or carrying 20 lbs.
occasionally.
Ability to push or pull over carpet floors, concrete ramps and on varied surfaces, a four wheel cart with 50 lbs.
of paperwork.
Filing ledgers or finding ledgers requires reaching, pushing, pulling, extending the hands and arms in any direction.
Stooping and bending the body forward by bending the spine at the waist.
To reach lower areas requires kneeling by bending the legs at the knee of crouching by bending the body downward and/or forward by bending the legs and spine.
This is 50% of daily work.
Organizing charts requires handling of papers by holding, grasping and turning, with picking up and pinching as finger movements.
This is a repetitious procedure that is constantly being done.
Must be able to perform the duties with or without reasonable accommodation.
Hearing and vision must be normal or corrected to within normal range.
Position is hybrid and allows for remote work capabilities.
OTHER JOB FACTORSJob requires orientation to detail, accountability and ability to interact with customers when the communication may be discourteous or unpleasant.
Recommended Skills Analytical Auditing Billing Claim Processing Customer Satisfaction Filing Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
