Responsible for analytical and reporting support for business owners including but not limited to Director Revenue Cycle, Regional CFO, Controller and other Senior Leaders. Facilitates the collection, analysis and reporting of key financial data supporting the Revenue Cycle Business Objectives. Executes variety of supervisory and management activities pertaining to business practices. Promotes quality and continuous improvement. Coordinates standardization of business practices throughout Region. Directs activities of Business Services inpatient staff and Patient Accounting Representatives. Implements organization policies and recommends changes as needed.
Essential Functions: - Ensures impartial consideration of all information in developing decision alternatives. - Ensures analysis and studies are performed as requested; develops methodology and processes to set priorities for project scheduling; monitors implementation. - Develops, designs, plans, facilitates, and coordinates use of management decision-making tools, monitoring tools, decision support models and work process analysis in operations and improvements. - Communicates effectively through written reports, graphical representations, and oral presentations to leadership. - Interprets both internal and external data for decision making; provides decision support and analysis to leadership. - Recommends process to conduct, analyze, and uncover root causes to issues; applies knowledge of findings to solve problems. - Leads teams through problem assessment phase to implementation of solutions; facilitates meetings as needed. - Collaborates with other key analysts to ensure integration and alignment. - Provides education, training to other analysts of process improvement; mentors and coaches other analysts. - Acts as a role model for teamwork among the other analysts; promotes strong relationships, trusts, morale and cooperation among team members. - Demonstrates knowledge in area of regulatory billing requirements by CMS, Medicaid and other Payors.
Basic Qualifications: Experience - Minimum five (5) years of revenue cycle, health care insurance claims processing and health care operations analyst or related experience. - Project management or lead experience. Education - Bachelor's degree in business administration, systems, planning, health care administration, public health administration, or related field OR four (4) years of experience in a directly related field. License, Certification, Registration - N/A
Additional Requirements: - Demonstrated ability to identify and resolve issues, collection, analysis, and interpretation of data. - Broad knowledge of revenue cycle operations. - Demonstrated knowledge of and skill in decision making, customer service, group presentations, group process facilitation, influence, interpersonal relations, oral communication, problem solving, project management, quality management, results orientation, systems thinking, team building, teamwork, and written communication. - Demonstrated knowledge of and skill in word processing, multimedia presentations, spreadsheet, and database PC applications. - Communicating with co-workers, customers, and outside vendors. - Training, giving and receiving instructions. Mathematical ability, attention to detail, concentration and alertness.
Preferred Qualifications: - Healthcare operations experience. - Ability to conceptualize processes across entire organization. - Healthcare claims processing. - Knowledge of EPIC physician and hospital billing applications.