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Healthcare, Hospitals & Health Systems

System Revenue Analyst- Managed Care

Huntsville, ALOnsiteFull TimePosted 24 days agoVisa sponsorship available

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Required skills

  • Revenue Cycles
  • Finance Departments
  • Administration
  • Clinical Departments
  • data analysis
  • charge capture
  • process improvement
  • project management
  • reimbursement analysis
  • managed care support

Nice to have

  • Accounting
  • Finance
  • Business Administration
  • Health Administration

Role summary

The System Revenue Analyst will support the objectives of the Revenue Cycles, Finance, and Clinical Departments within the Huntsville Hospital Health System. This role involves data analysis, charge capture, process improvement, project management, reimbursement analysis, managed care support, KPI reporting, financial analysis, and staff education. Key responsibilities include collaborating with Revenue Cycle stakeholders, understanding clinical and billing processes, identifying and improving charge capture and billing processes, educating staff, auditing outcomes, and utilizing resources to achieve sustained improvements. The analyst is expected to lead projects and implement revenue improvements using national best practices. A Bachelor's Degree in Business Administration, Health Administration, or a comparable field is required, with preferred education in Accounting or Finance. Experience with patient accounting, case management, internal audit, coding, and process improvement is necessary, along with knowledge of clinical and financial processes, bridging clinical and patient financial data, medical terminology, coding, healthcare billing guidelines, auditing, project management, and process improvement techniques. Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Access) and networked IT systems is also required.

Overview

Under the general supervision of the Director Payer Contracting and Analytics and Revenue Manager, the System Revenue Analyst will work to achieve the objectives of the Revenue Cycles, Finance Departments, Administration and Clinical Departments of all Huntsville Hospital Health System facilitates and providers. The System Revenue Analyst duties will include data analysis, charge capture, process improvement, project management, reimbursement analysis, managed care support, KPI reporting, financial analysis and staff education for specific service lines and supporting departments (revenue centers) through the Health System. Key responsibilities include interacting with Revenue Cycle stakeholders, including Finance and Administration by supporting and understanding clinical and billing processes, identifying and improving processes to allow capturing of all charges and billing for services being providing, educating and communicating with staff regarding processes, auditing and reporting outcomes of the processes and utilizing all internal and external resources in order to accomplish and sustain improvements. The Revenue Cycle Analyst is expected to independently lead projects and produce measurable sustained outcomes. using national best practices, this position proactively implements and supports the Health System's revenue improvements.

Qualifications

Education Required: Bachelor's Degree in Business Administration, Health Administration or comparable field.

Education Preferred: Bachelor’s Degree in Accounting, Finance, or Business field or comparable combinations ofeducation and/or experience will be considered.

Experience: Experience working with patient accounting, case management, internal audit, coding, and/or process improvement. Combination of work and educational record that demonstrates knowledge of: Clinical and financial processes within a hospital based healthcare system, Bridging clinical and patient financial data to improve outcomes, Clear effective communication skills, Working knowledge of medical terminology, coding, and healthcare billing guidelines, Auditing, project management, and process improvement techniques, Comparable combinations of education and/or experience will be considered in lieu of degree.

Additional Skills/Abilities:

  • Word, Excel, PowerPoint, Access, and working within a networked IT system.
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