Revenue Cycle Analyst II

Title: Revenue Cycle Analyst II

Location: Gainesville, GA, 30507 (Hybrid)

Type: Full-Time Permanent/Direct Hire.

Industry: Hospitals and Healthcare.

***Hybrid with first month 100% onsite

About the Role:

Job Summary:

The Revenue Cycle System Analyst II position is responsible for providing system-level support for various revenue cycle applications as well as demonstrating project management skills. Support includes installation, configuration, maintenance, training, reporting, and production support for revenue cycle applications. This position works on complex problems where analysis of situations or data requires an in-depth evaluation and knowledge of the application. The Revenue Cycle Analyst II may provide leadership for other team members as well as the revenue cycle units, technology teams, and support teams. This position will support the revenue cycle objectives of Community Connect members as well as the delivery of safe patient care and services.

Minimum Job Qualifications:

Educational Requirements: Associate degree. In lieu of a degree, will consider individuals with extensive IT or Operations experience.

Minimum Experience: A minimum of five (5) years of IT application or related operational experience is required. Experience with professional billing, claims, and charging is required. Operational experience in Revenue Cycle, Claims, or Coding is a plus, as well as Community Connect experience, CPC coding and/or go-live implementation knowledge.

Other: Focused on PB - charge review, charge router, and PB claims are the main Epic areas.

Preferred Job Qualifications

Preferred Licensure or other certifications: Certification, if applicable, to the specific IT application: Epic PB Resolute with SBO, Epic Claims and Remittance, Epic Charge Router.

Preferred Educational Requirements: Bachelor’s Degree.

Job-Specific and Unique Knowledge, Skills, and Abilities:

Demonstrates sound technical judgment and competent technical skills with the ability to troubleshoot complex issues

Meets competency requirements of the job and demonstrates proficiency in all aspects of the identified job responsibilities

Achieves the department/unit quality and productivity standards and is accountable for specific customer/user satisfaction

Demonstrates work approach that is team-centric, creative, and analytical with solid organizational, problem-solving solving, and time management skills

Must be able to function in a dynamic environment subject to changes in schedules and priorities, working on multiple projects/ issues concurrently Responsibilities may require evening and weekend work in response to the needs of the systems supported

Demonstrates excellent communication skills, both written and verbal. Includes customer interactions technical discussion and documentation

Demonstrates ability to apply revenue cycle workflow knowledge in support of assigned systems and users

Able to develop and maintain good working relationships with peers, leadership, and customers: interact positively and productively with teams across organizational lines

Demonstrates strong analytical and product management skills, including a good understanding of how to interpret customer revenue cycle needs and translate them into application and operational requirements

Demonstrates ability to independently (with leadership support) lead/ facilitate small projects as assigned in the delivery and support of Revenue Cycle system solutions

Essential Tasks and Responsibilities

Works collaboratively with system users, technical staff, other ITS groups, and vendor support resources in problem solving related to customer group systems.

Coordinates aspects of planning, design, development, training, implementation, communication, maintenance, and evaluation of existing or new functionality within the various revenue cycle applications.

Conducts and collaborates efforts in researching, planning, installing, configuring, troubleshooting, maintaining, and upgrading operating systems and application software/hardware, developing knowledge regarding support of assigned systems.

Participates in the development and execution of standardized methodology for testing major system functions before system changes/upgrades are moved to the production environment.

Creates and maintains up-to-date training material related to the supported system as appropriate or works with system educators to do so. Participates in Training classes when appropriate.

Reviews and collaborates on user requests for changes, enhancements, additions, etc. to ensure feasibility, quality, and appropriateness for the system involved.

Participates in and develops a working knowledge of customer operations, department operations, systems, and processes; helping to assess current practice and translating end user needs into optimal configuration and build of customer applications and workflows, ensuring effectiveness and efficiency.

Contributes to the organization financially through the identification and implementation of cost-effective practices and budget management activities. Assists leadership team in capital and operational budget planning of ITS software, hardware, and maintenance costs.

Continually develops and maintains a service-oriented approach with customers, providing follow-up and responding to issues/ concerns in a timely manner.

Participates in the process of planning new systems/ processes or re-engineering, working collaboratively across the organization and multiple departments to support revenue cycle practice and systems.

Serves as the ITS Liaison support to assigned departments, working with system analysts and department leaders, facilitating a strong partnership between Information Technology and the user community to facilitate ITS support and response to system issues and needs.

Participates in department and teams, committees, projects, and initiatives as appropriate to support the achievement of department and organizational goals.

Facilitates reporting of information from source systems using the most appropriate tools.

Maintains professional skills and stays informed of changes in the healthcare industry/ regulations and vendor technology and their effect on assigned systems. Adheres to policies, procedures, and standards to meet all regulatory requirements such as HIPAA, as well as currently accepted legal standards.

Coordinates and participates in requirements-gathering techniques using interviews, document analysis, workshops, surveys, site visits, revenue cycle process descriptions, use cases, scenarios, revenue cycle analysis, tasks, and workflow analysis.

Participates in development and maintenance of a quality improvement program for clinical information systems proactively supporting efforts that ensure the delivery of safe patient care and services. Monitors, reports, and collaborates with various departments to identify areas for improvement and collaborates with staff and physicians to optimize the usage of clinical systems.

Partners with project managers and teams in implementations of new systems, system upgrades, and enhancement of current system functionality, participating in any phase of large or small projects.

Provides on-call support to end users and the ITS department and serves as a resource to other team members in areas of expertise.

Other duties as assigned.