Practice Revenue Analyst II Plastic Surgery

2 weeks ago

Chardon, United States University Hospitals Full time
A Brief Overview
This position supports operations through the set-up, configuration, analysis, monitoring, and maintenance of the system and operational training support.
What You Will Do
  • Reporting & Analytics

    • Performs audits and analyses of accounts receivable/transactions to ensure the accuracy of claims/receivables, identifies issues, and recommends solutions.

    • Generates reports including writing complex queries to perform analysis on data within the Electronic Charge Capture process. Uses independent judgment to write queries that extract the necessary data from the Electronic Charge Capture software.

    • Monitors work lists as assigned by manager on a weekly basis, assists users in resolving work list items, and reports status to Senior Analyst for compilation to manager.

    • Analyzes performance indicators for inconsistencies and reports to senior analyst or manager.

    • Analyzes Data and Reports, Recognizes problems, develops relevant facts, formulates alternative solutions and decides on appropriate conclusions.

    • Establishes effective work relationships with department members as well as other end users.

  • Revenue Capture Optimization

    • Collaborate with Manager/Supervisor of Electronic Revenue Optimization for UHPS for alignment and consistency of ECC solutions and workflow integrity across the entity

    • Coordinate with Manager/Supervisor of Electronic Revenue Optimization to create the operational workflow, review, reconciliation, and manual charge entry for all electronic and paper charge solutions used in UHPS (SCC Superbill, Inpatient Superbill, Touchworks Virtual Ticket, Patient Keeper, I-Pro, Soarian manual charge entry, CodeRyte to Soarian interface, Paper Charge Tickets, etc.). This will include charge entry and reconciliation within each EMR, each charge interface, and each batch created in Soarian, including manual charge entry processes.

    • Coordinate with Manager/Supervisor of Electronic Revenue Optimization for reporting and work list management for charge reconciliation, including working of CEWL, EBEW, Incomplete Data Worklist and Outstanding Charges worklist

    • Coordinate with Manager/Supervisor of Electronic Revenue Optimization for each ECC to optimize the ECC for operations and ensure accurate financial reporting

  • General

    • Maintains access to and serves as administrator for all payer websites, software and specific sites for the Central Business Office.

    • Participates in Process improvement initiatives as assigned by manager/supervisor.

    • Assist UHPS departments with Special Projects and various duties as assigned

Additional Responsibilities
  • Performs other duties as assigned.
  • Complies with all policies and standards.
  • For specific duties and responsibilities, refer to documentation provided by the department during orientation.
  • Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.


Qualifications:
Education
  • High School Equivalent / GED (Required) and
  • Bachelor's Degree (Preferred)
Work Experience
  • 5+ years of financial analysis, collection, billing, or follow-up experience knowledge. (Required)
Knowledge, Skills, & Abilities
  • Must have excellent operational knowledge, functional and/or technical knowledge in order to deploy electronic revenue capture software and related business processes. (Required proficiency)
  • Detail oriented and organized, with good time management skills. (Required proficiency)
  • Ideal candidate would possess superior analytical and problem solving abilities (Required proficiency)
  • Knowledge of ICD Diagnosis, CPT codes and medical terminology. (Required proficiency)
  • Detail-oriented and organized, with good analytical and problem solving ability. (Required proficiency)
  • Notable client service, communication, presentation and relationship building skills. (Required proficiency)
  • Ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
  • Must have strong written and verbal communication skills. (Required proficiency)
  • Proficient in data entry skills. (Required proficiency)
  • Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e., printers, copy machine, FAX machine, etc.). (Required proficiency)
  • Knowledge of Soarian, Quadax, Affinity software and query language. (Preferred proficiency)
  • Familiar with an Inpatient/Outpatient AMR software. (Preferred proficiency)
Physical Demands
  • Standing Occasionally
  • Walking Occasionally
  • Sitting Constantly
  • Lifting Rarely 20 lbs
  • Carrying Rarely 20 lbs
  • Pushing Rarely 20 lbs
  • Pulling Rarely 20 lbs
  • Climbing Rarely 20 lbs
  • Balancing Rarely
  • Stooping Rarely
  • Kneeling Rarely
  • Crouching Rarely
  • Crawling Rarely
  • Reaching Rarely
  • Handling Occasionally
  • Grasping Occasionally
  • Feeling Rarely
  • Talking Constantly
  • Hearing Constantly
  • Repetitive Motions Frequently
  • Eye/Hand/Foot Coordination Frequently
Travel Requirements
  • 10%

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