Senior Revenue Improvement Analyst

4 months ago

Bloomington, United States HealthPartners Full time

HealthPartners is currently hiring for a Senior Revenue Improvement Analyst . In collaboration with internal/external customers, the analyst assesses key opportunities and assists with implementing effective revenue cycle solutions, The analyst also supports the revenue cycle around revenue capture and applies innovative thinking and business knowledge to produce solutions, efficiencies, departmental processes, and denial management strategies.

Senior Revenue Improvement Analyst plays a vital role in improving financial outcomes by providing data, information, options, and solutions for suspected or identified revenue capture or denial management issues. Solutions may include process and/or technology changes that may impact various stages of the revenue cycle. This analyst functions as a liaison between the revenue cycle and multiple business areas which results in measurable process or financial improvement.

The analyst is a member of the Revenue Cycle Team and functions as a project manager and leader with the ability to collaborate across a wide range of internal and external customers and translate their business needs.

Required Qualifications:

Bachelor’s degree in Computer Science, Business, Finance, Health Care Management, Management Information Systems, or another related field. Four years related work experience will be considered in lieu of degree. 3+ years’ experience as a Financial Systems, Financial Analyst, or Business Analyst supporting a healthcare management system, similar financial support system, or other related work experience. Knowledge of healthcare revenue cycle functions and payor reimbursement terminology. Knowledge of Revenue Cycle principles. Understanding of health care reimbursement and denials from various payers. Epic application experience (Resolute Hospital and/or Professional Billing). Knowledge and proficient use of Epic reporting tools such as Cubes, Reporting Workbench reports, Dashboards, and other reports. Ability to retrieve and perform data manipulation from multiple sources such as flat files, Excel files, Epic reporting tools. Experience in quantifying data and using data to prioritize operational strategies. Ability to translate business needs into revenue improvement solutions. Excellent analytical skills and ability to perform extensive research in a diligent manner. Excellent oral and written communication skills and ability to communicate to leadership pros & cons of potential solutions, recommendations, and associated risks concisely and accurately. Ability to communicate revenue improvement opportunities. Ability to work with a wide range of internal and external customers. Ability to prioritize and self-direct work efforts. Results oriented.

Preferred Qualifications:

Five or more years’ experience as a Financial Systems, Financial Analyst, Business Analyst supporting a healthcare management system or similar financial support system. Database experience in relational tables and multiple instances in cross relational database design. Experience with Clarity data extraction and manipulation. Knowledge of EDI claim and EDI remittance data. Knowledge of payor requirements for revenue capture. Epic application experience (ADT/Prelude). Epic Systems Certification.

Hours/Location:

M-F; Days May work remotely but may need to be onsite for occasional meetings or in office events.

Accountabilities:

Prepares revenue cycle specific reports using multiple data sources to analyze revenue cycle data, identify trends and enhancement workflow opportunities. Analyzes and interprets information from revenue cycle specific reports to provide leadership data for operational decision making to improve efficiency and financial goals. Provide data analysis to identify trends and make recommendations to assist in development of strategic plan to resolve outstanding claims and denials. Provide data analysis support on monthly operational revenue cycle metric reports. Support the denial management strategy by recommending and prioritizing strategies to reduce claim denials and increase revenue. Support denial management tools and communicate information to management throughout the organization. Participate in forums and communication tools to update management on progress of change implementation and denial reduction efforts. Utilize multiple information systems to research and quantify the underlying reasons for denials. Develop ad hoc reports to be used in revenue cycle operations decision-making and investigation on topics such as, denial management analysis. Perform other duties as assigned by revenue cycle directors and/or managers.

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