Summit Healthcare

Job Details

Description

The Revenue Cycle Analyst supports the business solutions within the Revenue Cycle solutions portfolio, including Altera Financial Manager, patient access, charge services/revenue integrity, health information management, and patient accounting. This position is responsible for project management functions as they pertain to the revenue cycle and supports implementation and provide ongoing support of revenue cycle applications.

The Revenue Cycle Analyst position establishes data accuracy and validity derived from a variety of information resources. This position plays an active role in designing and maintaining reports as well as system applications used in workflow and to make strategic business decisions.

Essential Functions

• Works with Revenue Cycle departments to evaluate the design and determine modifications for all revenue cycle applications to effectively accomplish desired objectives.
• Provides technical support to teams as needed.
• Collaborates with Business Analytics team to ensures data accuracy and leverage business intelligence.
• Evaluates applications for possible adoption and improves performance of existing applications.
• Performs advanced business analysis using various techniques, e.g. statistical analysis, explanatory and predictive modeling, data mining.
• Determines best practices and develops actionable insights and recommendations for the current business operations or issues.
• Works closely with the internal or external clients to identify analytical and workflow needs.
• May handle special analytical projects as needed.
• May assist in implementing or developing systems to capture business operation information.
• Acquires, manages, manipulates, and analyzse data and report results to support payment initiatives, care transformation, payer and vendor relationships, financial, clinical, and operational goals.
• Responsible for end-to-end report development, medical and financial cost and utilization trend analysis; interacting with end users to gather requirements and understand report objectives; and will provide data management and analytic support.
• Assists in benchmarking processes by gathering and pulling related data as needed.

Reviews data for integrity and accuracy; audits and ensures data integrity of information entered into the information systems.

• Reviews post-software installation and conducts audits and troubleshoots the reporting environment if necessary.
• Assists users and personnel with training and development of user documentation.
• Coordinates efforts between stakeholders from multiple areas in order to gather requirements, develop technical specifications and test enhancements and other changes to these systems.
• Identifies data integrity issues and analyzes data and process flows for process improvement opportunities.
• Works with stakeholders to build, test and maintain integration points with revenue cycle and clinical solutions.

Other Duties

• Participates in departmental and association wide informational meetings and inservices, including staff meetings, association wide forums, and seminars.
• Reviews department and association wide policies and procedures annually. Develops and maintains new policies and procedures as needed.

Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Abilities

• This position requires operational knowledge of all equipment and software systems in the Revenue Cycle Support Services Department, including computer hardware, fax, printer, copy machine, scanner, shredder, phone systems, and commonly used hospital computer programs (including Windows Operating Systems, Microsoft Office, Adobe Acrobat, e-mail, and internet).
• Knowledge of reporting platforms, data analysis models, project management models, and financial management principles,
• Must be service oriented and have excellent computer skills, problem-solving skills, customer service skills, organizational skills, multitasking skills, professional interpersonal skills, time management skills, the ability to prioritize work, and telephone etiquette.
• Demonstrated ability in data extraction, complex analysis, and reporting.
• Knowledge of clinical operations and process improvement methodologies.
• Familiarity with healthcare terminology such as diagnosis code, CPT, DRG, etc.
• Demonstrated ability to leverage and manipulate spreadsheets and graphs.
• Ability to work effectively and efficiently with a degree of accuracy under tight deadlines and high volumes.
• Must read, write, speak, and understand English.

Supervisory Responsibilities

• None.

Work Environment

At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice.

To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards:

• Always SHINE – show respect and be kind.
• Always work together – we are on the same team.
• Always serve others – no job is beneath you.
• Always maintain high standards of quality and safety – best practice every time.
• Always communicate clearly – be compassionate.
• Always practice integrity – maintain confidentiality.
• Always be accountable – take responsibility.
• Always empower – create an environment of success.
• Always excel – don’t settle for mediocrity.
• Always promote wellness – make choices for a healthy lifestyle.

Physical Demands

Exerts up to 20 lbs. of force occasionally, and/or up to 10 lbs. of force frequently, and/or a negligible amount of force constantly to move objects. Physical demands are in excess of those of Sedentary work. Light work usually requires walking or standing to a significant degree. Worker is exposed to extensive computer work.

Required Education and Experience

• Bachelor’s Degree in IT, Healthcare, or health related field.
• Advanced computer skills.
• 3 – 5 years experience in healthcare, data analytics or project management.
• Certified Revenue Cycle Representative (CRCR) certification (within one year of hire).

Preferred Education and Experience

• Project Management Professional.
• Lean Six Sigma Black Belt.

OSHA Exposure Category:

Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues and are not a condition of employment.

This is a safety sensitive position.

Qualifications

Education

Required

Bachelors or better in Information Technology.

Licenses & Certifications

Required

Cert. Rev. Cycle Rep.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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