Revenue Cycle Analyst

Work Schedule/Days:  Day / Monday - Friday
Employment Type:  Full-Time
Location:  Support I 
Requisition #:  72662

 

JOB SUMMARY

A key contributor to strategic business projects related to revenue cycle performance.  Under the direction of Revenue Cycle leadership this position is responsible for evaluating processes and identifying process deficiencies.  Updates charge master as new and updated regulatory and contractual requirements are identified by Revenue Cycle, Reimbursement, and Operations.  Produces reporting as well as providing analytic analysis of the data to Revenue Cycle leadership and other stakeholders at all levels of the organization.  Maintains close working relationship with Information System & Technology business partners and serves as subject matter expert on content of Epic system master files and functionality related to pricing and charging, e.g., EAP, Epic Resolute Hospital and Professional Billing, and other applications.  Coordinates activities and initiatives with IS&T, Budget and Decision Support, Finance and other departments as related to Revenue Cycle systems, metrics, and results. 

EDUCATION

Bachelor Degree in Business, Health Administration, Mathematics, Statistics, Computer Science, Engineering or related field

CERTIFICATION SUMMARY
  • No professional certifications required
EXPERIENCE*
  • Minimum of one-year experience with health care Revenue Cycle, Finance, Consulting, or other applicable area
  • Required to obtain Epic proficiency within one year of hire
PREFERRED QUALIFICATIONS*
  • Project management experience
  • Experience in Microsoft Access and SQL reporting
  • Experience working with Epic systems
KNOWLEDGE SKILLS & ABILITIES*
  • Demonstrated skills in reporting and analytics, including experience in database management, system administration, system applications, and business intelligence tools such as SQL Server, QlikView, Tableau and application implementations
  • Demonstrated proficiency in analytical, statistical, and business intelligence tools
  • Demonstrated organizational and communication skills and ability to work with detailed financial information with accuracy and confidentiality
  • Demonstrated communication skills with a variety of audiences, including department management, organizational leaders, physicians, and staff members using presentations, spreadsheets, and written documents.
  • Strong organizational and analytical skills
  • Ability to multi-task and work both independently and within teams

 

JOB RESPONSIBILITIES*
  1. Runs, reviews, interprets, analyzes, and validates Revenue Cycle reports. Ensures the integrity of data provided to all areas of the revenue cycle and other areas of the organization is necessary for good decision making.
  2. Partners with Revenue Cycle leaders and other stakeholders across the organization to identify and address operational issues related to Revenue Cycle performance. 
  3. Conducts revenue cycle analysis and provides trends as needed by Revenue Cycle leadership team to identify improvement opportunities.
  4. Works as key team member on internal initiatives and projects related to Revenue Cycle data, analytics, and reporting
  5. In conjunction with Revenue Cycle leadership, coordinates Revenue Cycle system enhancements, upgrades and replacements with IS&T, Supply Chain and other areas/departments. Partners with IS&T and outside vendors to provide support for related to systems, data and hardware.
  6. Maintains charge description master and coordinates Manager, Revenue Cycle with clinical departments to ensure that charges are assessed and appropriate for patient services provided.
  7. Assists in researching and resolving issues related to charging and billing for patient services.
  8. Conducts research and interprets regulations and other requirements to determine charging and billing alternatives and compliance issues in conjunction with operational and Reimbursement staff members.
  9. Facilitates appropriate charge capture and charge reconciliation.
  10. Acts as a resource and reference for the system related to charges, charge compliance/capture, and reimbursement/collection impacts.
  11. Has detailed knowledge of core Revenue Cycle systems and all bolt on software solutions. 
SYSTEM RESPONSIBILITIES*

Safety: Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system.

 

Compliance: Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility. Identifies potential risk areas within area of responsibility and supports problem resolution process. Maintains records of compliance activities and reports compliance activities to the Compliance Office.

 

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification.  They are not intended to be an exhaustive list of all job duties performed by the personnel so classified.

PHYSICAL DEMANDS* Ability to lift up to 15 lbs independently not to exceed 50 lbs without assistanceBending/Stooping - Occasionally (activity or condition exists up to 1/3 of time)Climbing - Occasionally (activity or condition exists up to 1/3 of time)Hearing/Speaking - Effective communication with employees, supervisors/managers and staff. Effective communications with patients and visitors, as required.Lifting - Occasionally (activity or condition exists up to 1/3 of time)Pushing/Pulling - Occasionally (activity or condition exists up to 1/3 of time)Sitting - Frequently (activity or condition exists from 1/3 to 2/3 of time)Standing - Occasionally (activity or condition exists up to 1/3 of time)Walking - Occasionally (activity or condition exists up to 1/3 of time)WORKING CONDITIONS* No potential for exposure to blood and body fluids

 

About Us:

Children’s Healthcare of Atlanta has been 100 percent committed to kids for more than 100 years. A not-for-profit organization, Children’s is dedicated to making kids better today and healthier tomorrow.

With 3 hospitals, 20 neighborhood locations and a total of 673 beds, Children’s is the largest healthcare provider for children in Georgia and one of the largest pediatric clinical care providers in the country. Children’s offers access to more than 60 pediatric specialties and programs and is ranked among the top children’s hospitals in the country by U.S. News & World Report.

Children’s has been recognized as a Fortune 100 Best Place to Work, a Best Place for Working Mothers, and as a top employer for diversity and millennials.  We offer a comprehensive compensation and benefit package that supports our mission, vision and values.  We are proud to offer an array of programs and services to our employees that have distinguished us as a best place to work in the country.  Connect to our mission of making kids better today and healthier tomorrow. 

Have questions about the recruitment process?  Check out What to Expect.

Address:  1575 Northeast Expressway, Bldg 1, Atlanta, GA  30329
Function:  Revenue Cycle - Patient Financial Services

Posted
04/21/2021
Salary Range
$50,000.00 - 81,000.00
per Year
Salary range estimated by
Location
Atlanta, GA 30329, US