Acord (association For Cooperative Operations Research And Development)
Revenue Cycle HC Analyst 3 (REVENUE CYCLE HC ANL 3)
Acord (association For Cooperative Operations Research And Development), Sacramento, California, United States, 95828
Revenue Cycle HC Analyst 3 (REVENUE CYCLE HC ANL 3)
Job SummaryThe primary functions of the PFS Payor analyst include hospital/facility billing reimbursement analysis, system/process development, problem resolution and workflow oversight.
Key ResponsibilitiesPerform analysis and problem solving of issues/problems without precedent and/or structure.Provide detailed analysis and reporting of contract payor performance to include payment trends, denials, delinquencies and payment variances from expected reimbursement.Identify and track issues related to expected reimbursement vs payment discrepancies to maximize revenue and increase efficiency.Work with internal and external departments to formulate strategies and administer policies, processes, and resources.Ensure account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services.Review processes including authorization, registration, charge capture, coding, insurance identification, data entry, billing, contract management, payment posting, refund processing, and collections.Act as the department liaison for Contract Management system development and operation.Maintain contract profiles in EPIC and/or vendor system. Conduct extensive testing before contract profiles are deployed to the production environment.
QualificationsMinimum QualificationsBachelor's degree in related area and/or equivalent experience.Academic institution or large integrated health system experience.Knowledge of hospital/facility billing and reimbursement procedures, for Commercial/Managed Care and Government payors.Experience working with revenue cycle information systems or system implementation teams for complex projects, application development and/or support.Hospital/facility billing and accounts receivable experience.In-depth knowledge of the healthcare revenue cycle's practices, procedures, concepts, and component operations, including billing, collections, contractual terms, third-party reimbursements, and cash management.Intermediate to advanced use of data mining software applications, including Microsoft Excel, and the ability to create Executive-level reporting in PowerPoint and Word.Strong experience advising management, serving as a technical leader, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management.Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner.Strong organizational and project management skills, and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
Preferred QualificationsExperience using tools such as Slicer and Tableau.Experience building and maintaining contracts in EPIC Contracts.
Department OverviewPatient Financial Services (PFS) manages revenue cycle functions including DNFB, billing, contract management, insurance follow-up, charge audit, denials, underpayments as well as internal operational and functional reporting and support related to hospital/facility billing.
Position InformationSalary or Pay Range:
$2,770.40 - $5,023.20Salary Frequency:
BiweeklySalary Grade:
22UC Job Title:
REVENUE CYCLE HC ANL 3Number of Positions:
1Appointment Type:
Staff: CareerPercentage of Time:
100Shift Hours:
Day, 8 hoursLocation:
UCDHAS Building (HSP165)Union Representation:
99 - Non-Represented (PPSM)Benefits Eligible:
YesHybrid/Remote/Onsite:
This position is hybrid (mix of on-site and remote work)
Special RequirementsThis is a critical position, as defined by UC policy and local procedures, and as such, employment is contingent upon successful completion of background check(s).This position is designated as a mandated reporter under CANRA and UC policy.
Diversity, Equity, Inclusion and BelongingAt UC Davis, we're solving life's most urgent challenges to bring a fuller, healthier, and more resilient world within reach. The University of California, Davis is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.#J-18808-Ljbffr
Job SummaryThe primary functions of the PFS Payor analyst include hospital/facility billing reimbursement analysis, system/process development, problem resolution and workflow oversight.
Key ResponsibilitiesPerform analysis and problem solving of issues/problems without precedent and/or structure.Provide detailed analysis and reporting of contract payor performance to include payment trends, denials, delinquencies and payment variances from expected reimbursement.Identify and track issues related to expected reimbursement vs payment discrepancies to maximize revenue and increase efficiency.Work with internal and external departments to formulate strategies and administer policies, processes, and resources.Ensure account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services.Review processes including authorization, registration, charge capture, coding, insurance identification, data entry, billing, contract management, payment posting, refund processing, and collections.Act as the department liaison for Contract Management system development and operation.Maintain contract profiles in EPIC and/or vendor system. Conduct extensive testing before contract profiles are deployed to the production environment.
QualificationsMinimum QualificationsBachelor's degree in related area and/or equivalent experience.Academic institution or large integrated health system experience.Knowledge of hospital/facility billing and reimbursement procedures, for Commercial/Managed Care and Government payors.Experience working with revenue cycle information systems or system implementation teams for complex projects, application development and/or support.Hospital/facility billing and accounts receivable experience.In-depth knowledge of the healthcare revenue cycle's practices, procedures, concepts, and component operations, including billing, collections, contractual terms, third-party reimbursements, and cash management.Intermediate to advanced use of data mining software applications, including Microsoft Excel, and the ability to create Executive-level reporting in PowerPoint and Word.Strong experience advising management, serving as a technical leader, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management.Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner.Strong organizational and project management skills, and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
Preferred QualificationsExperience using tools such as Slicer and Tableau.Experience building and maintaining contracts in EPIC Contracts.
Department OverviewPatient Financial Services (PFS) manages revenue cycle functions including DNFB, billing, contract management, insurance follow-up, charge audit, denials, underpayments as well as internal operational and functional reporting and support related to hospital/facility billing.
Position InformationSalary or Pay Range:
$2,770.40 - $5,023.20Salary Frequency:
BiweeklySalary Grade:
22UC Job Title:
REVENUE CYCLE HC ANL 3Number of Positions:
1Appointment Type:
Staff: CareerPercentage of Time:
100Shift Hours:
Day, 8 hoursLocation:
UCDHAS Building (HSP165)Union Representation:
99 - Non-Represented (PPSM)Benefits Eligible:
YesHybrid/Remote/Onsite:
This position is hybrid (mix of on-site and remote work)
Special RequirementsThis is a critical position, as defined by UC policy and local procedures, and as such, employment is contingent upon successful completion of background check(s).This position is designated as a mandated reporter under CANRA and UC policy.
Diversity, Equity, Inclusion and BelongingAt UC Davis, we're solving life's most urgent challenges to bring a fuller, healthier, and more resilient world within reach. The University of California, Davis is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.#J-18808-Ljbffr