This job ad has been posted over 30 days ago...
Revenue Cycle Analyst
at
Confidential
in Boston, MA
We are conveniently located at 1135 Tremont St. Our offices are tucked in neatly next to the college campus of Northeastern University. Within walking distance are Symphony Hall, the Huntington Theater, the New England Conservatory of Music, and the Museum of Fine Arts. If it’s a nice day, we are just a home run trot away from Fenway Park. For easy access to the rest of city and the suburbs, both the Commuter Rail and the Orange line are located right next door. Our department offers flexible hours, casual dress and the panache of working for a world class medical institution.We take pride in supporting the patient first mission of Beth Israel Deaconess by managing the revenue cycle and offer an incentive program to all employees to encourage the best financial results possible. Our department offers diverse professional opportunities by interacting and supporting clinical area operations, by implementing cutting edge systems and by our commitment to a work/life approach to business.Supports the organization’s mission, vision and values by exhibiting the following behaviors: excellence and competence, collaboration, innovation, respect, personalization, commitment to our community and accountability and ownership. Position Summary 1. Design and maintain tables and databases associated with Patient Financial Services accounting system, e.g. case mix. Assure that documentation is complete and accurate and consistent with the medical center’s policies and procedures. 2. Maintain and update systems tables and databases critical for the functions, data output and remittance posting for the billing system. Maintain and update tables critical for the assignment of appropriate patient registration insurance codes used in multiple systems. Maintain change control logs for all system tables and databases and assure that documentation is complete and accurate and consistent with the medical centers policies and procedures. 3. Responsible for the evaluation of unresolved third party claims, e.g. rejects and denials. Design and maintain matrix to monitor the results of the department to achieve specific financial goals of the institution. Design, prepare and publish a variety of reports, maintain various logs and statistics necessary to monitor progress, productivity and results of this department. Work with Patient Financial Services and Patient Access Services managers and programming areas to design and create new reports or enhance existing reports from multiple systems to enhance workflow processes and efficiencies. 4. Work with Patient Financial Services and Patient Access Services managers and staff to identify, research and propose resolutions for systems issues or changes that impede timely and accurate billing of services and timely payment for those services. Work with programming areas to specify necessary code changes in multiple systems, test and approve code changes for implementation in production and to confirm efficacy of changes in production. Provide functional information to the training areas to facilitate updating of end user procedures in anticipation of code changes. Develop monitoring reports to track impact of changes and to confirm resolution of the initiating issues. Work with Patient Financial Services and Patient Access Services managers and programming areas to monitor data flow, interface processes and systems integration on an ongoing basis, identify developing problems and recommend enhancements as opportunities for improvement present themselves. 5. Work with Patient Financial Services and Patient Access Services managers and programming areas to create project plans with timelines for implementation of systems enhancements or changes mandated by state or federal regulatory changes or payer contract requirements. Draft and coordinate change control requests for multiple systems, test and approve code changes for implementation in production and ensure successful delivery by deadline. Develop reports to track the impact of changes and to confirm compliance with requirements. Participate in testing, implementation and integration of new systems and products into existing workflows and processes. Provide support and assistance to end users of all systems relevant to the mission and goals of the department. 6. Participate in other system planning having impact upon third party receivable operations and on developing systems enhancement proposals. Assist as needed with specific projects and analysis of operational effectiveness.
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