Sr Revenue Cycle Analyst (Remote within MN & WI)
Children's Hospital
Remote
revenue
revenue cycle
cycle
analyst
remote
children
revenue
management
financial
revenue cycle
cycle
maintenance
health
March 24, 2023
Children's Hospital
Minnesota Lake, Minnesota
About Children's Minnesota
Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts in our region, Children's Minnesota is regularly ranked by U.S. News & World Report as a top children's hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrensMN.org.
Department Overview
The Accounting, Revenue and, Treasury Management Departments produce monthly financial statements, manage account receivables and account payables, and provide analysis/forecasting of financial data. Major activities include: maintaining financial statements with generally accepted accounting principles, monthly posting of operations performance, reconciling general ledger accounts, fixed asset reporting and capital spending tracking, managing the annual financial audit, completing external requests for information, and reporting structure and system maintenance.
Position Summary
The Senior Revenue Cycle Analyst provides support to the revenue management department as a knowledge expert on revenue cycle processes and technology solutions. The position participates in the identification, development and execution of revenue cycle processes and technology solutions. The position collaborates with other departments and external vendors to problem solve and escalate any issues within the revenue cycle functions. The Analyst assists with various process improvements and process reviews, implementing changes as recommended utilizing Children's LEAN methodologies. The position is also responsible for setup, maintenance, and upgrades of Children's revenue cycle.
License/Certification/Registration required? No
Education:
*Bachelor's degree or Associate's degree in Healthcare Management, Information Systems, or Business Administration required
Experience:
*5-8+ years experience working in revenue management within a healthcare system, insurance industry or government organization
Knowledge/Skills/Abilities:
*Past system support experience, requirements gathering, and user acceptance testing to include monitoring of data imports, provision of basic system maintenance, documentation of workflows and coordination with vendor for maintenance and escalation
*Diagnose and resolve or escalate complex software problems in the areas of system configuration/setup, product functionality and bugs/enhancements.
*Document issues and organizational requests to product development teams and external vendors.
*Troubleshoot interface issues related to Registration/Scheduling (HL7) and Charge Messages.
*Serves as primary resource for printing, scanning and credit card support.
*Assist in optimizing, auditing, and setup of work queues for charge capture reconciliation, denial management, claims management and remittance posting.
Ability to develop training documentation and provide training to end users
*Ability to research patient accounts within the system and recreate outcomes
*Ability to project manage system roll outs, design and test enhancements, prioritize requests and escalate issues
*Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere
*Detail-oriented, good organizational skills, and ability to be self-directed
*Flexibility to perform other tasks as needed in an active work environment with changing work needs
*High-level problem solving, analytical, and investigational skills
*Ability to learn quickly and meet continuous timelines
*Excellent customer service through oral and written communication
*Knowledge of third party payer contract terms and reimbursement methodologies (DRG, APR DRG, APC, EAPC, fee schedules, modifier reductions, etc.) including MN and WI Medicaid
*Knowledge of healthcare billing system functions (scheduling, registration, point of service collection, charge capture, coding, claim submission, payment follow up, self pay collection, agency placement)
*Knowledge of hospital and clinic billing rules, claim edits, use of modifiers, authorization and certification requirements, CCI edits and Medicare MUE edits
*Knowledge of HIPAA privacy standards and PCI compliance regulations
*Knowledge of LEAN methodologies and process improvement techniques
*Exhibits behaviors consistent with principles of excellent service
*Exhibits behaviors consists with standards of performance improvement and organizational values (e.g., efficiency and financial responsibility, safety, partnership and service, teamwork, compassion, integrity, and trust and respect)
*System knowledge of Cerner, GE Centricity Business and eClinical Works preferred
*Proficient in Microsoft Office products as well as Visio
Physical Demands
Please click here to view the Physical Demands
All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification. Children's Minnesota requires proof of COVID-19 vaccine, and as recommended by the Centers for Disease Control and Prevention (CDC), immunity to vaccine preventable infectious diseases, prior to employment.
Children's Minnesota is committed to providing Equal Employment Opportunities to all applicants. EO M/F/Disability/Vet Employer.
Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts in our region, Children's Minnesota is regularly ranked by U.S. News & World Report as a top children's hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrensMN.org.
Department Overview
The Accounting, Revenue and, Treasury Management Departments produce monthly financial statements, manage account receivables and account payables, and provide analysis/forecasting of financial data. Major activities include: maintaining financial statements with generally accepted accounting principles, monthly posting of operations performance, reconciling general ledger accounts, fixed asset reporting and capital spending tracking, managing the annual financial audit, completing external requests for information, and reporting structure and system maintenance.
Position Summary
The Senior Revenue Cycle Analyst provides support to the revenue management department as a knowledge expert on revenue cycle processes and technology solutions. The position participates in the identification, development and execution of revenue cycle processes and technology solutions. The position collaborates with other departments and external vendors to problem solve and escalate any issues within the revenue cycle functions. The Analyst assists with various process improvements and process reviews, implementing changes as recommended utilizing Children's LEAN methodologies. The position is also responsible for setup, maintenance, and upgrades of Children's revenue cycle.
License/Certification/Registration required? No
Education:
*Bachelor's degree or Associate's degree in Healthcare Management, Information Systems, or Business Administration required
Experience:
*5-8+ years experience working in revenue management within a healthcare system, insurance industry or government organization
Knowledge/Skills/Abilities:
*Past system support experience, requirements gathering, and user acceptance testing to include monitoring of data imports, provision of basic system maintenance, documentation of workflows and coordination with vendor for maintenance and escalation
*Diagnose and resolve or escalate complex software problems in the areas of system configuration/setup, product functionality and bugs/enhancements.
*Document issues and organizational requests to product development teams and external vendors.
*Troubleshoot interface issues related to Registration/Scheduling (HL7) and Charge Messages.
*Serves as primary resource for printing, scanning and credit card support.
*Assist in optimizing, auditing, and setup of work queues for charge capture reconciliation, denial management, claims management and remittance posting.
Ability to develop training documentation and provide training to end users
*Ability to research patient accounts within the system and recreate outcomes
*Ability to project manage system roll outs, design and test enhancements, prioritize requests and escalate issues
*Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere
*Detail-oriented, good organizational skills, and ability to be self-directed
*Flexibility to perform other tasks as needed in an active work environment with changing work needs
*High-level problem solving, analytical, and investigational skills
*Ability to learn quickly and meet continuous timelines
*Excellent customer service through oral and written communication
*Knowledge of third party payer contract terms and reimbursement methodologies (DRG, APR DRG, APC, EAPC, fee schedules, modifier reductions, etc.) including MN and WI Medicaid
*Knowledge of healthcare billing system functions (scheduling, registration, point of service collection, charge capture, coding, claim submission, payment follow up, self pay collection, agency placement)
*Knowledge of hospital and clinic billing rules, claim edits, use of modifiers, authorization and certification requirements, CCI edits and Medicare MUE edits
*Knowledge of HIPAA privacy standards and PCI compliance regulations
*Knowledge of LEAN methodologies and process improvement techniques
*Exhibits behaviors consistent with principles of excellent service
*Exhibits behaviors consists with standards of performance improvement and organizational values (e.g., efficiency and financial responsibility, safety, partnership and service, teamwork, compassion, integrity, and trust and respect)
*System knowledge of Cerner, GE Centricity Business and eClinical Works preferred
*Proficient in Microsoft Office products as well as Visio
Physical Demands
Please click here to view the Physical Demands
All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification. Children's Minnesota requires proof of COVID-19 vaccine, and as recommended by the Centers for Disease Control and Prevention (CDC), immunity to vaccine preventable infectious diseases, prior to employment.
Children's Minnesota is committed to providing Equal Employment Opportunities to all applicants. EO M/F/Disability/Vet Employer.
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