CURRENT OPPORTUNITY

Position Summary

The Revenue Cycle Business Analyst, Patient Access, is responsible for participation in the analysis, design, implementation and follow-up of a variety of large-scale revenue cycle projects utilizing computer systems. Participates in all phases of projects, including but not limited to: planning, designing, developing, testing, implementing, training and troubleshooting. This position will have a significant role in the administration or preparation of the departments or the organization's budget. Position requires exercise of independent judgment as incumbents will have access to sensitive and personally identifiable information. Incumbent will also have access to detailed and aggregated revenues, expenses, patient and employee information which has to be handled with utmost diligence and high levels of responsibility.

Duties & Responsibilities

Identifies process improvement opportunities and supports efforts to leverage revenue cycle applications to their fullest potential. Works with revenue cycle departments to identify and develop lean processes which eliminate and/or minimize third party payer denials and rejections and improves cash flow. Reviews and analyzes system data and key performance indicators to meet or exceed operational goals. Supports the development and delivery of user training; assist with development and implementation of strategic goals. Assists in the implementation of new system software and/or modifications. Participates in all appropriate system installations. Assists in the management of projects alongside SME's and IT. Analyze changes and enhancements to software in order to determine impacts on existing systems/processes. Works closely with Patient Access, Case Management, HIM, CBO, Revenue Integrity, and other areas in a consultative capacity to support accurate and timely billing of patient account receivables. Has a thorough understanding of third party payer requirements for patient services. Interprets data from denials management program to develop denial prevention strategies. Produces ad-hoc reports and maintains proficiency in understanding revenue cycle workflows; identifies systemic issues and makes recommendations for improvements to the Revenue Cycle leadership team. Remains current with trends, regulatory requirements, and business strategies related to the revenue cycle. Represents Revenue Cycle as part of the team that evaluates, tests, and implements custom or vendor supplied business oriented software according to user specifications. Maintains a significant level of expertise and proficiency in the utilization of the patient registration, scheduling, clinical and patient accounting systems. Completes assignments within deadlines and works according to project schedules. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned. Able to lead small projects. Onsite travel as needed.

Qualifications Experience

• Generally requires 3 to 5 years of related experience.
• Education: Bachelor's degree in related field is strongly preferred.
• License Certification: Valid license or certification is required as needed, based on the job or specialty.

Knowledge Skill Abilities

Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Proficiency in MS Office applications, including but not limited to, Excel, Word, PowerPoint, Visio etc. Knowledge of complex data modeling, data analytics, data querying programs is required. Adequate training will be provided to qualified internal JHS candidates.