UC Irvine Health
Business Systems Analyst 3 - Revenue Integrity - F/T Days - 68046-1A
UC Irvine Health, Anaheim, California, United States, 92808
Business Systems Analyst 3 - Revenue Integrity - F/T Days - 68046-1A
Updated: Apr 26, 2024Location: AnaheimJob Type:Department: Revenue IntegrityUC Title: BUS SYS ANL 3Position Number:
41084319Reports to:
REVENUE CYCLE HC MGR 2Working Title:
Business Systems Analyst 3Cost Center:
Revenue Integrity (428534)Bargaining Unit:
No Bargaining UnitFLSA:
ExemptDate Created:
4/18/2024Job Code:
007584Hours:
40Shift:
Not ApplicableFTE:
1Position Summary:This position plays a key role in the organization's move towards more revenue cycle automation using existing Epic functionalities, 3rd party applications and/or AI (artificial intelligence) /RPA (robotic process automation) tools (e.g. UiPath, Microsoft Power Platform, etc.) to optimize efficiencies for existing and new workflows/processes while remaining compliant with healthcare regulations. Also responsible for implementing, maintaining and troubleshooting specified systems, workflow processes, data flows, information transmissions, etc. throughout the receivables cycle. Using a collaborative process, will contribute significantly to reporting and analysis of relevant KPI metrics resulting from automation efforts that could encompass Registration, HIM/Coding, Revenue Integrity, Research Revenue Integrity, Patient Financial Services, Professional Billing Group, Shared Business Office departments.Salary Range:Annual RateMinimum:
$73,900.00Midpoint:
$103,800.00Maximum:
$133,700.00Responsibilities:Maintains specific master files and billing system and sub-systems.Accurately performs net revenue analysis.Effectively serves as a resource to senior management regarding the functionality of existing manual and automated business office systems.Prepares and distributes weekly reports to PFS management summarizing key information and identifying trends as appropriate. Determines best formats for data and results presentations.Maintains and applies a detailed knowledge of the registration, billing and collection processes and data requirements to ensure assignments are completed effectively and efficiently.Maintains safety and security procedures for Invision system integrity.Effectively implements, modifies and troubleshoots specified computer systems, data flows, information transmissions and report designs throughout the receivables cycle.Collaborates and/or contributes to the analysis of accurate data exchange between Registration, PFS Patient Accounting, Revenue Audit and the current in-house claim scrubber.Effectively assesses need for and provides communications and education/training to billing supervisors and managers.Assesses project scope and develops project plan to include project definition, resources needed, action items, timelines, milestones, decision points and implementation and communication requirements.Coordinates follow up on plan action items and documents plan progress against timeline and decision points. Documents deviations from the plan and reasons for the deviations.Effectively serves as liaison and communicates progress to appropriate members of the management team and others as needed.Oversees implementation of new or changed processes resulting from project to include testing, communications, training, roll-out and follow up assessment.Works with external vendors and consultants as needed to see project through to completion.Effectively manages project plan. Ensures timelines are met, people and other resources are used effectively and efficiently, and performance of vendors is held to plan expectations of performance. Completes project summary at project end.Effectively schedules and leads team meetings. Assigns work based on team member strengths and follows up to ensure team members have the necessary resources to follow through.Serves as a key resource in the organization's transition to electronic billing (EDI) and electronic payment posting.Effectively analyzes new proposals or initiatives. Identifies creative solutions and prepares alternative recommendations as appropriate.Collects and assembles analytical and factual data appropriate to assigned problems. Effectively maintains information in formats that facilitate reporting needs.Effectively determines, locates and evaluates sources for collecting credible information and data.Develops and presents effective recommendations to supervision/management.Effectively makes internal and external contacts as necessary to obtain or validate data.Makes recommendations for improving existing processes based on analysis and follows through as appropriate.Appropriately plans, coordinates and implements recommendations.Obtains information from appropriate internal sources to answer questions.Effectively uses computer systems, including TDS, Quest or Diamond.Maintains a current working knowledge of Federal, State, University and industry regulations and accounting standards.Responds effectively to questions regarding patient accounts and provides an accurate explanation of charges.Troubleshoots unresolved problems. Researches facts, evaluates alternatives, and interacts with others as appropriate to achieve resolution.Assists in the resolution of customer complaints/issues (re: care, charges, service, etc.) by providing information in the most efficient way, seeing problem completely through to resolution.Proficient in the interpretation and application of financial policies and guidelines.Accurately reviews exception reports and works with staff to ensure corrections.Consults with managers and staff regarding identification of billing and reimbursement issues.Effectively analyzes data between the HCC system and Decision Support system and recommends necessary changes.Required Qualifications:Demonstrated knowledge of Excel, Access, Word.Knowledge of registration, billing and collections processes and data requirements gained through at least two years experience working in a hospital based environment utilizing an automated Patient Accounting system.Ability to lead others on a project basis.Ability to identify process improvement opportunities and develop and recommend new processes as needed.Strong analytical skills with the ability to summarize key information clearly and concisely.Strong oral and written communications skills to effectively communicate with staff, senior management and external constituents.Ability to think critically and problem solve independently as well as collaboratively as required.Ability to work independently and take initiative to identify priorities and manage workload accordingly.Ability to read and understand intent of regulatory documents to be able to assess impact on current operational processes.Familiarity with rules and regulations governing various payers.Strong knowledge of healthcare automated systems utilized in a Business Office environment.Preferred Qualifications:Bachelor's Degree in Business, Finance or Computer Sciences.Knowledge of UC policies and procedures.Specific knowledge of Invision Patient Accounting System.Understanding of billing related EDI formats and requirements.Conditions of Employment:The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:Background Check and Live Scan.Legal Right to Work in the United States.Smoking and Tobacco Policy.Drug Free Environment.The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.California Child Abuse and Neglect Reporting Act.The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI’s Employee Experience Center (EEC) at [email protected] or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.
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Updated: Apr 26, 2024Location: AnaheimJob Type:Department: Revenue IntegrityUC Title: BUS SYS ANL 3Position Number:
41084319Reports to:
REVENUE CYCLE HC MGR 2Working Title:
Business Systems Analyst 3Cost Center:
Revenue Integrity (428534)Bargaining Unit:
No Bargaining UnitFLSA:
ExemptDate Created:
4/18/2024Job Code:
007584Hours:
40Shift:
Not ApplicableFTE:
1Position Summary:This position plays a key role in the organization's move towards more revenue cycle automation using existing Epic functionalities, 3rd party applications and/or AI (artificial intelligence) /RPA (robotic process automation) tools (e.g. UiPath, Microsoft Power Platform, etc.) to optimize efficiencies for existing and new workflows/processes while remaining compliant with healthcare regulations. Also responsible for implementing, maintaining and troubleshooting specified systems, workflow processes, data flows, information transmissions, etc. throughout the receivables cycle. Using a collaborative process, will contribute significantly to reporting and analysis of relevant KPI metrics resulting from automation efforts that could encompass Registration, HIM/Coding, Revenue Integrity, Research Revenue Integrity, Patient Financial Services, Professional Billing Group, Shared Business Office departments.Salary Range:Annual RateMinimum:
$73,900.00Midpoint:
$103,800.00Maximum:
$133,700.00Responsibilities:Maintains specific master files and billing system and sub-systems.Accurately performs net revenue analysis.Effectively serves as a resource to senior management regarding the functionality of existing manual and automated business office systems.Prepares and distributes weekly reports to PFS management summarizing key information and identifying trends as appropriate. Determines best formats for data and results presentations.Maintains and applies a detailed knowledge of the registration, billing and collection processes and data requirements to ensure assignments are completed effectively and efficiently.Maintains safety and security procedures for Invision system integrity.Effectively implements, modifies and troubleshoots specified computer systems, data flows, information transmissions and report designs throughout the receivables cycle.Collaborates and/or contributes to the analysis of accurate data exchange between Registration, PFS Patient Accounting, Revenue Audit and the current in-house claim scrubber.Effectively assesses need for and provides communications and education/training to billing supervisors and managers.Assesses project scope and develops project plan to include project definition, resources needed, action items, timelines, milestones, decision points and implementation and communication requirements.Coordinates follow up on plan action items and documents plan progress against timeline and decision points. Documents deviations from the plan and reasons for the deviations.Effectively serves as liaison and communicates progress to appropriate members of the management team and others as needed.Oversees implementation of new or changed processes resulting from project to include testing, communications, training, roll-out and follow up assessment.Works with external vendors and consultants as needed to see project through to completion.Effectively manages project plan. Ensures timelines are met, people and other resources are used effectively and efficiently, and performance of vendors is held to plan expectations of performance. Completes project summary at project end.Effectively schedules and leads team meetings. Assigns work based on team member strengths and follows up to ensure team members have the necessary resources to follow through.Serves as a key resource in the organization's transition to electronic billing (EDI) and electronic payment posting.Effectively analyzes new proposals or initiatives. Identifies creative solutions and prepares alternative recommendations as appropriate.Collects and assembles analytical and factual data appropriate to assigned problems. Effectively maintains information in formats that facilitate reporting needs.Effectively determines, locates and evaluates sources for collecting credible information and data.Develops and presents effective recommendations to supervision/management.Effectively makes internal and external contacts as necessary to obtain or validate data.Makes recommendations for improving existing processes based on analysis and follows through as appropriate.Appropriately plans, coordinates and implements recommendations.Obtains information from appropriate internal sources to answer questions.Effectively uses computer systems, including TDS, Quest or Diamond.Maintains a current working knowledge of Federal, State, University and industry regulations and accounting standards.Responds effectively to questions regarding patient accounts and provides an accurate explanation of charges.Troubleshoots unresolved problems. Researches facts, evaluates alternatives, and interacts with others as appropriate to achieve resolution.Assists in the resolution of customer complaints/issues (re: care, charges, service, etc.) by providing information in the most efficient way, seeing problem completely through to resolution.Proficient in the interpretation and application of financial policies and guidelines.Accurately reviews exception reports and works with staff to ensure corrections.Consults with managers and staff regarding identification of billing and reimbursement issues.Effectively analyzes data between the HCC system and Decision Support system and recommends necessary changes.Required Qualifications:Demonstrated knowledge of Excel, Access, Word.Knowledge of registration, billing and collections processes and data requirements gained through at least two years experience working in a hospital based environment utilizing an automated Patient Accounting system.Ability to lead others on a project basis.Ability to identify process improvement opportunities and develop and recommend new processes as needed.Strong analytical skills with the ability to summarize key information clearly and concisely.Strong oral and written communications skills to effectively communicate with staff, senior management and external constituents.Ability to think critically and problem solve independently as well as collaboratively as required.Ability to work independently and take initiative to identify priorities and manage workload accordingly.Ability to read and understand intent of regulatory documents to be able to assess impact on current operational processes.Familiarity with rules and regulations governing various payers.Strong knowledge of healthcare automated systems utilized in a Business Office environment.Preferred Qualifications:Bachelor's Degree in Business, Finance or Computer Sciences.Knowledge of UC policies and procedures.Specific knowledge of Invision Patient Accounting System.Understanding of billing related EDI formats and requirements.Conditions of Employment:The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:Background Check and Live Scan.Legal Right to Work in the United States.Smoking and Tobacco Policy.Drug Free Environment.The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.California Child Abuse and Neglect Reporting Act.The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI’s Employee Experience Center (EEC) at [email protected] or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.
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