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Revenue Cycle Analyst - Billing (INTERNAL ONLY)

Company: CHI-Franciscan Medical Group
Location: Tacoma
Posted on: February 16, 2020

Job Description:

Job Type: Full Time Scheduled Hours per 2 Week Pay Period: 80 Daily Schedule: 8:00am to 4:30pm Weekends Required: None Location: WA > TACOMA > FRANCISCAN ADMIN CNTR BROADWAY Franciscan Medical Group is currently seeking a full-time Revenue Cycle Analyst for the Franciscan Regional Billing Office in Tacoma. 5 days a week but flexible start times and no weekends or major holidays required! CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits.  We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country. Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team! Job Summary: This job is responsible for the development and maintenance of statistical, finance, performance, trending and/or operational reports/databases for the Franciscan Medical Group consistent with industry standards, internal policies/procedures and general requirements.  Work involves consolidating/interpreting data from multiple systems and  facilitating ad hoc/scheduled reporting requests related to revenue cycle functions such as claims submission, insurance follow-up, cash management, credits/refunds, charge/payment posting, coding and clinic customer service.  An incumbent will discern trends in complex streams of data and recommend solutions to issues affecting denials and/or reimbursement. Work also includes:  1) interpreting/explaining report findings to clinic management/organizational leadership and recommending process improvements; 2) assisting in Chargemaster maintenance; and 3) liaison with IT for system maintenance/modification. Work requires familiarity with relational database management, HTML, SharePoint and SQL programming and considerable knowledge of the Microsoft Office Suite (Excel, Outlook, PowerPoint, Access and Visio) and electronic medical record systems.  Strong analytical and critical thinking skills are required for timely report generation through use of computer-based applications and data. 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 business unit activities to trend and compare findings against the service standards and industry best practices. Completes benchmarking and other research for key revenue cycle functions. Designs procedures and seeks assistance when guidelines are inadequate, significant deviations are proposed, or when unanticipated problems arise. Assists in gathering 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. Ensures that relevant changes are fully understood and that current data/reports are updated to ensure timely and accurate information is accessible and produced. Identifies, researches and resolves (within position scope) unusual, complex or escalated issues through critical thinking and problem solving skills; notifies Supervisor/Manager/Director of ongoing issues and concerns. Essential Duties: Designs, develops and tests reports and desktop databases to facilitate efficient and flexible data extraction and management; develops and maintains timely and accurate documentation related to development, reporting and analytical 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 business unit activities to trend and compare findings against the service standards and industry best practices. Completes benchmarking and other research for key revenue cycle functions. Designs procedures and seeks assistance when guidelines are inadequate, significant deviations are proposed, or when unanticipated problems arise. Assists in gathering 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. Ensures that relevant changes are fully understood and that current data/reports are updated to ensure timely and accurate information is accessible and produced. Identifies, researches and resolves (within position scope) unusual, complex or escalated issues through critical thinking and problem solving skills; notifies Supervisor/Manager/Director of ongoing issues and concerns. Assists in the ongoing maintenance of the FMG Chargemaster in accordance with established procedures. Develops the annual Chargemaster spreadsheet for fee schedule additions and maintenance requests. Reviews and responds to Chargemaster spreadsheet maintenance requests and procedure code changes. Maintains integrity of system fee schedules, ensuring accuracy of pricing and relative value units (RVUs). Analyzes/interprets/explains report content/findings and makes recommendations for revenue cycle process improvements. Develops analyses and reports to support key initiatives, including financial evaluation of strategic initiatives and ongoing monitoring of progress. Monitors weekly performance metrics and completes root cause analyses to identify improvement opportunities related to regional revenue cycle activities. Identifies and makes recommendations to improve existing processes and follow through as appropriate. Applies a test of reasonableness to question results of each analysis before the task/analysis is complete. Documents processes as well as source information and calculations used in financial analyses. Participates in Information Technology (IT) department liaison activities; communicates operational changes to facilitate system maintenance/modification. Assists Senior Analyst as a liaison with CHI IT to assist FMG with implementing new technology, reporting solutions, and analytics: Participates in the design, build, and validation of system tables and processes Proposes system set up for consideration by CHI Assists with training staff on system functionality Assists with reference guide compilation Generates monthly table extracts to monitor changes in billing system Submits, tracks and validates requests to IT for workqueue and other system maintenance for the Revenue Cycle. Assists Senior Analyst to maintain and enhance internal SharePoint and Intranet sites; coordinates with IT as needed. Communicates technical changes/suggestions to operational leaders. Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function; maintains confidentiality of medical records and related data. Has knowledge of, and is compliant with, government regulations including "signature on file" requirements,   compliance program, HIPAA, etc. Establishes and maintains professional and effective relationships with peers and other stakeholders. Works collaboratively with Revenue Cycle team members and other stakeholders to meet expectations and deliverable timelines. Establishes and maintains a professional relationship with clinics and FMG staff in order to resolve issues. Promotes an atmosphere of collaboration so Revenue Cycle team members feel comfortable approaching with issues and challenges. Depending on role and Epic training, may be called upon to support other areas in the Revenue Cycle. Performs related duties as required. Education/Experience: Bachelor’s degree in business administration, finance, accounting or related healthcare field, and two years of related work experience that demonstrates attainment of the requisite job knowledge/abilities. Or any equivalent combination of education and experience which provides the required knowledge, skills and abilities to perform the essential functions of the position. Graduate degree in finance, accounting or related field is desirable. License/Certification: None Additional Information Requisition ID: 2020-R0273754 Schedule: Full-time Shift: Day Job Market: CHI-Franciscan Medical Group

Keywords: CHI-Franciscan Medical Group, Tacoma , Revenue Cycle Analyst - Billing (INTERNAL ONLY), Other , Tacoma, Washington

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