Professional Billing Revenue Cycle Analyst - BIDMC

Revenue Cycle Analyst

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Under the direction of the Harvard Medical Faculty Physicians (HMFP) at BIDMC Director of Strategic Financial Planning Analytics, the Revenue Cycle Analyst (RCA) will be responsible for improving revenue cycle workflow, efficiency, accuracy, reimbursement, and overall revenue control through operational and system enhancements and/or modifications. In addition, the RCA will identify issues, trends, and provide solutions as well as develop an environment of customer service, continued learning, and increased communication within revenue cycle and between departments.

The following statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of this position.

Primary Responsibilities:

• Provides in depth knowledge and determines best Epic system build options and functionality that will help improve revenue cycle operational workflows and system usage, and understand the choices involved in application configuration.
• Collects and reports information to Revenue Cycle Leadership regarding potential system enhancement needs and system breaks/fix issues.
• Analyzes revenue cycle data to identify trends, outliers, key drivers, and provide analysis.
• Develop, trend, and report monthly and annual statistical reporting dashboard to coincide with departmental and organizational KPIs (Key Performance Indicator).
• Work collaboratively with HMFP enterprise revenue cycle team on improvement initiatives to maximize revenue via analyzing RCM metrics, KPIs, and standardized service level agreements (SLAs) against budget, targets, and benchmarks; and identify variances, trends, and performance issues.
• Provide reporting and analytics support for RCM audits, tracking, trending, and monitoring functions
• Uses various software applications to assemble, manipulate and/or format data. Maintain data models and produce both standard and ad-hoc reports.
• Participate in enterprise revenue cycle management and department meetings and provide reporting and analytics updates as needed.
• Advanced written and verbal communication skills with the ability to translate complex data into clear and meaningful reports.
• Demonstrate collaboration skills to create productive partnerships with clients. Actively participate in cross-functional groups to solve problems across projects.
• Other tasks and work as assigned.

Qualifications:

• Bachelor's degree in Business / Finance / Accounting / or Healthcare Administration.
• 3-5 years of experience working in revenue cycle required.
• Experience working with Epic software including: Cubes, Slicer Dicer, Dashboards, Workbench Reports, and Clarity Reports mandatory.
• Proficiency or certification in Epic Professional Billing (PB) highly desired.
• Comprehensive working knowledge of revenue cycle analytics, medical billing practices, billing software, healthcare insurance, and CMS regulations.
• Knowledge of CPT, HCPCS, and ICD-10 coding principles preferred.
• Strong understanding of professional billing (PB) end-to-end revenue cycle management processes and functions.
• Ability to effectively communicate and present findings.
• Ability to transform raw data into actionable information, facilitating informed decision-making.
• Advanced skills in Microsoft applications: Outlook, Excel, Word, and Teams.

Competencies:

1. Strong interpersonal, communication, problem solving, and analytical skills

2. Excellent attention to detail with proven ability to work across multiple projects.

3. Implements quality control processes and monitors quality standards.

4. Embraces change and seeks to understand its impact.

5. Ability to identify both patterns and anomalies across multiple data sources.

6. Ability to read, analyze, and interpret financial reports.

7. Ability to define problems, collect data, establish facts, draw conclusions, and make sound recommendations.

Social/Environmental Requirements:

1. Work requires periods of close attention to work without interruption. Concentrated effort of up to 4 hours without break may be required.

2. Work is varied every day and the employee needs to be adaptable to respond to these changes and use independent judgment and manage priorities.

3. No substantial exposure to adverse environmental conditions

4. Health Care Status: NHCW: No patient contact

Sensory Requirements:

Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity > 20 feet, Visual clarity <3 feet, Conversation, Telephone.

Physical Requirements:

Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally.

This job requires constant sitting, Fine Manipulation using both hands, Keyboard use.

About the organization:

Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) is one of New England's premier physician-led organizations, dedicated to excellence in clinical care, education, research, career advancement, inclusivity, and well-being. HMFP employs more than 2,400 renowned and dedicated physicians, and serves the more than 1.3 million patients at BIDMC and across the Beth Israel Lahey Health (BILH) system, as well as other hospitals. A majority of physicians are teaching faculty affiliated with Harvard Medical School (HMS), as well as international leaders in their clinical specialties. In addition, 700+ community-based physicians deliver world-class healthcare through Longwood Specialty Physicians.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled