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Position: Denial Revenue Cycle Analyst
Department: Revenue Cycle, Crown Colony Office Park Quincy, MA
Schedule: Full Time
POSITION SUMMARY:
Reporting directly to the Manager, Payment Systems & Denials Prevention HB PB, the Denials Revenue Cycle Analyst is responsible for providing the enterprise revenue cycle reporting, process improvement and analytical support at BMC and BUMG. This will encompass but not limited to the implementation/management of all reporting/process improvement initiatives and analytic tools to support data analysis and comprehensive understanding of all platforms in support of the work initiatives.
The Denials Revenue Cycle Analyst must possess a thorough understanding of revenue cycle operations along with reporting expertise in Epic, Epics Slicer Dicer, Excel, and the ability to become a super user of third party reporting technology.
Drive the vision for how the technology and infrastructure at BMC should best evolve to best support the reporting and analytical needs within Revenue Cycle, and in support of customers. The Revenue Cycle Analyst will be a key contributor to the overall Revenue Cycle team and will participate in planning and organizational improvement initiatives.
JOB REQUIREMENTS
EDUCATION:
Bachelor's degree in finance, business, healthcare or related field preferred; masters preferred.
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
None
EXPERIENCE:
- 2 or more years’ experience in the areas of finance, revenue cycle management, or information systems
- Experience within healthcare required
- Strong analytic and reporting skills needed with an ability to identify and implement continuous process improvements and automation, where appropriate
KNOWLEDGE, SKILLS & ABILITIES:
Technical
- Demonstrated ability in Epics SlicerDicer, Workbench, and Cubes reporting platforms
- Demonstrated super user ability in third party analytic applications
- Comprehensive knowledge of accounting, finance and business administration, and a practical knowledge of patient financial billing regulations/requirements, reimbursement, and managed care in order to understand the billing systems; review, interpret, and analyze patient financial billing reports and data; and plan, coordinate and prepare for audits
- Comprehensive understanding of patient billing policies, procedures and health insurance standards
Project Management
- Strong demonstrated project management skills, from vision through implementation. Ability to manage multiple complex projects simultaneously
- Ability to ensure work assignments are completed in accordance with an established project timeline
Leadership
- Demonstrated leadership skills, with ability to work with multi-departmental teams and peers
- Demonstrated ability to set vision and motivate stakeholders to realize the vision
- Solid understanding of business environment and operations
- Strong analytical, problem-solving and conceptual skills
- Ability to be part of a cross-departmental and cross-functional team, and participate in the organization and execution of projects
- Excellent oral and written communication skills
- Ability to communicate effectively with both technical and non-technical people
ESSENTIAL RESPONSIBILITIES/ DUTIES:
- Performs root cause analysis for all revenue cycle areas, communicates trends, and provides process improvement recommendations
- Serves as a member and acts as a resource to various committees including but not limited to Revenue Cycle Council & Denials Management teams
- Implement reporting and analytic strategy to decrease cost, maximize quality, and identify opportunities for improvement within revenue cycle financials
- Analyzes aging for all payers, and identifies opportunities for accelerating cash and reducing AR >90 days. Identifies trends in denial and payment delay by payers
- Analyzes payer denials, identifies and implements prevention opportunities for reducing denials and increasing revenue
- Meets regularly with all Revenue Cycle teams and facilitates communication to all team members
- Understand the evolving business and analytics needs at BMC, BUMG and at peer organizations
- Keep abreast of the latest advances in reporting and analytics across all industries and set the vision for how the toolset at BMC and BUMG should evolve
- Creates customized reports as requested by system users, and trains core users on reporting tools
- Devises and recommends new or modified approaches to reporting to improve financial and statistical reporting
- Takes lead on projects outside original scope of work as needed to maintain a high performing revenue cycle
- Performs other duties as assigned IND123
- Must adhere to all of BMC’s RESPECT behavioral standards.
Equal Opportunity Employer/Disabled/Veterans
Top Skills
What We Do
Boston Medical Center, located in Boston’s historic South End, is a private, not-for-profit, 567-bed, academic medical center and the primary teaching affiliate for Boston University School of Medicine.
Recognized for its high-quality, nationally ranked and comprehensive medical care for the entire family, patients have access to the most current treatment and advancements at BMC. BMC physicians lead the way in pioneering new therapies that impact the care of patients locally and worldwide.
In 2013, BMC made the decision to invest in a four-year campus redesign that includes additions to buildings, upgrades to existing structures, and an expansion of the Emergency Department. Once completed, the redesign will provide clinical workspaces with state-of-the-art facilities and equipment to solve BMC's most pressing care delivery needs.
Already complete, the hospital’s Shapiro Center is Boston’s newest outpatient care facility and features a quarter-million square feet of clinic space, key support services, one of the region’s most technologically advanced pharmacies, and a bright, spacious café. Housed in a facility that provides world-class, patient-centered care at every visit, BMC doctors are among the best in their field. Many are recognized annually as “Top Doctors” in their medical and surgical specialties by publications such as U.S. News & World Report and Boston magazine.
Boston Medical Center is also the largest safety net hospital in New England and extends into the community as a founding partner of Boston HealthNet, a network of 15 community health centers throughout Boston serving more than a quarter million people annually.
No matter whom you meet at BMC, all are committed to providing every patient and family member with the highest quality of care, respect, warmth and compassion.
