El Camino Hospital
El Camino Hospital-Mountain View Campus Mountain View California 94040 US
Utilizing knowledge of clinical operations, the analyst will coordinate, review, analyze, and maintain Systems, including specification gathering, configuration, testing, modification, activation and ongoing support. Manages requests and works with end users (physicians, nurses, pharmacists, Patient Accounts, HIM etc.) to identify current operating procedures, define request requirements, perform data collection and analysis, identify problems, and opportunities for process improvements. This position provides specialized technical and operational knowledge and support to management, supervisors and staff throughout the hospital in order to successfully meet goals related to the development and effective use of relevant systems in operational areas. Mentors junior informatics or analyst staff on the principles of informatics and system implementation. May need to travel between campuses to perform duties. Provides Tier 3 level support. Participates in rotating on-call support of relevant Systems. QUALIFICATIONS 1. Some college education with Bachelor's degree preferred. 2. At least 1.5 years' experience with implementing Clinical or revenue cycle/business Applications 3. At least two (2) years experience in an acute care hospital or ambulatory clinic. 4. Experience coordinating team projects 5. Experience with Epic and relevant clinical systems such asSCC SoftLaboratory, Mediware HCLL, Cerner CoPath products or revenue cycle/ business systems such as Cirius, Passport, 3m 360 and Escription, preferred. 6. Knowledge of medical terminology 7. Excellent communication skills, oral and written, interpersonal, organizational, and computer skills. Proven ability with Excel, Word, and Outlook. 8. Ability to work with minimum supervision and to interact well with all levels of employees and physicians throughout the organization, participate in intra- and interdepartmental collaboration, and handle multiple tasks concurrently to meet deadlines. 9. Proven analytical and problem-solving skills. Ability to do report writing, meeting minutes, and update/change/make project plans. License/Certification/Registration Requirements 1. If configuring Epic, certification is required (certification within 6 weeks after last class if not already certified) 2. Valid Healthcare certification or licensure preferred 3. CPC or CCS AHIMA certification for HIM Analyst preferred.
Feb 13, 2019
Other
Utilizing knowledge of clinical operations, the analyst will coordinate, review, analyze, and maintain Systems, including specification gathering, configuration, testing, modification, activation and ongoing support. Manages requests and works with end users (physicians, nurses, pharmacists, Patient Accounts, HIM etc.) to identify current operating procedures, define request requirements, perform data collection and analysis, identify problems, and opportunities for process improvements. This position provides specialized technical and operational knowledge and support to management, supervisors and staff throughout the hospital in order to successfully meet goals related to the development and effective use of relevant systems in operational areas. Mentors junior informatics or analyst staff on the principles of informatics and system implementation. May need to travel between campuses to perform duties. Provides Tier 3 level support. Participates in rotating on-call support of relevant Systems. QUALIFICATIONS 1. Some college education with Bachelor's degree preferred. 2. At least 1.5 years' experience with implementing Clinical or revenue cycle/business Applications 3. At least two (2) years experience in an acute care hospital or ambulatory clinic. 4. Experience coordinating team projects 5. Experience with Epic and relevant clinical systems such asSCC SoftLaboratory, Mediware HCLL, Cerner CoPath products or revenue cycle/ business systems such as Cirius, Passport, 3m 360 and Escription, preferred. 6. Knowledge of medical terminology 7. Excellent communication skills, oral and written, interpersonal, organizational, and computer skills. Proven ability with Excel, Word, and Outlook. 8. Ability to work with minimum supervision and to interact well with all levels of employees and physicians throughout the organization, participate in intra- and interdepartmental collaboration, and handle multiple tasks concurrently to meet deadlines. 9. Proven analytical and problem-solving skills. Ability to do report writing, meeting minutes, and update/change/make project plans. License/Certification/Registration Requirements 1. If configuring Epic, certification is required (certification within 6 weeks after last class if not already certified) 2. Valid Healthcare certification or licensure preferred 3. CPC or CCS AHIMA certification for HIM Analyst preferred.
Hunterdon Health Care System
2100 Wescott Drive Flemington New Jersey 08822 United States
Position Summary:
The Corporate Director of Finance will serve at a system level to manage the flow of cash through the organization. Maintains the integrity of funds, securities, and proper recording of general ledger transactions for each entity and the consolidated health system. The position reports to the Chief Financial Officer of Hunterdon Healthcare System.
Primary Position Responsibilities:
Responsible for financial operations of all entities of Hunterdon Healthcare System - including financial reporting, budgeting, analysis, accounts payable, payroll, treasury function, grant and bond trustee reporting, and governmental compliance (tax, SEC and cost reporting).
Financial Reporting – responsible for generating financial reports in accordance with GAAP for all entities including:
Monthly management reporting, including variance analysis and Board reports
Annual audit financial statements
Operating and capital budgeting preparation
Specific financial metrics as requested/required
Develop and support other financial reporting systems and operational functions as required (e.g., payroll and productivity reporting)
Budgeting – responsible for coordinating and developing budgets, and assisting in closing variances from budget to actual for all entities. Generate reports required to bring the budget to the Board. Develops budgets and plans for new programs. Includes both operating and capital budgeting and will provide long-term projections as needed.
Analysis – maintain a data analytics function. Requirements may change from time to time. Function will change, as needs change, to include:
Maintain and report on cost accounting and decision support
Cost and overhead allocations
Analysis of existing programs
Analysis of projected programs
Specific account analysis
Ad-hoc reporting
Accounts Payable – ensure appropriate functions to manage appropriate approval levels and cash flow metrics for disbursements with all required tax and compliance reporting.
Revenue Reporting – work in conjunction with Revenue Cycle personnel to insure that revenues are properly stated and accounts receivable are properly reserved on financial statements.
Treasury Function – responsible for debt covenant reporting and insure investments in assets are as recommended by Investment Consultants and as approved by Board. Report on cash available to meet current debts and daily cash flow.
Grant Reporting – grant compliance and reporting as required by grantors.
Tax, Cost and SEC reporting – responsible for all tax reporting, cost reporting and SEC reporting and applicable related payments
Payroll – responsible for timely and accurate payment of payroll and required tax and other governmental reporting
General:
Manage the interaction with and support for external and internal audit teams.
Periodically review and develop policies and procedures related to finance and accounting functions.
Hire, lead and manage necessary staff, including all related administration for all health system entities.
Maintain proficiency in new accounting pronouncements and recommends implementation.
Assist in special projects as directed.
Develop and present matters requiring the decision of the Chief Financial Officer.
Provide advice on all financial matters and other matters as requested by the Chief Financial Officer.
Work Contact Group
Administrative Staff, Department Heads, external auditors, medical staff, employees, consultants, and others as required from time to time.
Reporting Relationships
Reports to: Chief Financial Officer
Supervises: Cash Management Analyst, Department Administrative Assistant, Entity Accounting Managers, Directors of Accounting, and Director Financial Planning and Analysis and support staff.
Qualifications:
Minimum Education -
Required: Master’s Degree in Finance, Health Care and or Accounting Advanced Degree in Health Care Finance or Administration
Minimum Years of Experience -
Required: Seven or more years progressive financial and management experience in both hospital and health system Overhead allocation experience a must.
Preferred: Five years Chief Financial Officer in a hospital and two or more years as a health system Corporate Chief Accounting Officer, Physician Practice experience a plus.
License, Registry or Certification -
Required: CPA required
Preferred: HFMA fellowship desirable.
Knowledge, Skills and/or Abilities -
Required: Significant knowledge of hospital financial operations, physician practice reporting and corporate entity allocations and consolidations.
Preferred: None
Feb 13, 2019
Full-time
Position Summary:
The Corporate Director of Finance will serve at a system level to manage the flow of cash through the organization. Maintains the integrity of funds, securities, and proper recording of general ledger transactions for each entity and the consolidated health system. The position reports to the Chief Financial Officer of Hunterdon Healthcare System.
Primary Position Responsibilities:
Responsible for financial operations of all entities of Hunterdon Healthcare System - including financial reporting, budgeting, analysis, accounts payable, payroll, treasury function, grant and bond trustee reporting, and governmental compliance (tax, SEC and cost reporting).
Financial Reporting – responsible for generating financial reports in accordance with GAAP for all entities including:
Monthly management reporting, including variance analysis and Board reports
Annual audit financial statements
Operating and capital budgeting preparation
Specific financial metrics as requested/required
Develop and support other financial reporting systems and operational functions as required (e.g., payroll and productivity reporting)
Budgeting – responsible for coordinating and developing budgets, and assisting in closing variances from budget to actual for all entities. Generate reports required to bring the budget to the Board. Develops budgets and plans for new programs. Includes both operating and capital budgeting and will provide long-term projections as needed.
Analysis – maintain a data analytics function. Requirements may change from time to time. Function will change, as needs change, to include:
Maintain and report on cost accounting and decision support
Cost and overhead allocations
Analysis of existing programs
Analysis of projected programs
Specific account analysis
Ad-hoc reporting
Accounts Payable – ensure appropriate functions to manage appropriate approval levels and cash flow metrics for disbursements with all required tax and compliance reporting.
Revenue Reporting – work in conjunction with Revenue Cycle personnel to insure that revenues are properly stated and accounts receivable are properly reserved on financial statements.
Treasury Function – responsible for debt covenant reporting and insure investments in assets are as recommended by Investment Consultants and as approved by Board. Report on cash available to meet current debts and daily cash flow.
Grant Reporting – grant compliance and reporting as required by grantors.
Tax, Cost and SEC reporting – responsible for all tax reporting, cost reporting and SEC reporting and applicable related payments
Payroll – responsible for timely and accurate payment of payroll and required tax and other governmental reporting
General:
Manage the interaction with and support for external and internal audit teams.
Periodically review and develop policies and procedures related to finance and accounting functions.
Hire, lead and manage necessary staff, including all related administration for all health system entities.
Maintain proficiency in new accounting pronouncements and recommends implementation.
Assist in special projects as directed.
Develop and present matters requiring the decision of the Chief Financial Officer.
Provide advice on all financial matters and other matters as requested by the Chief Financial Officer.
Work Contact Group
Administrative Staff, Department Heads, external auditors, medical staff, employees, consultants, and others as required from time to time.
Reporting Relationships
Reports to: Chief Financial Officer
Supervises: Cash Management Analyst, Department Administrative Assistant, Entity Accounting Managers, Directors of Accounting, and Director Financial Planning and Analysis and support staff.
Qualifications:
Minimum Education -
Required: Master’s Degree in Finance, Health Care and or Accounting Advanced Degree in Health Care Finance or Administration
Minimum Years of Experience -
Required: Seven or more years progressive financial and management experience in both hospital and health system Overhead allocation experience a must.
Preferred: Five years Chief Financial Officer in a hospital and two or more years as a health system Corporate Chief Accounting Officer, Physician Practice experience a plus.
License, Registry or Certification -
Required: CPA required
Preferred: HFMA fellowship desirable.
Knowledge, Skills and/or Abilities -
Required: Significant knowledge of hospital financial operations, physician practice reporting and corporate entity allocations and consolidations.
Preferred: None
NCH Healthcare System
NCH Healthcare System Naples Florida US
The Quality Data Analyst position provides a vital link in the chain of
healthcare revenue cycle reporting. The Quality Data Analyst is responsible for
and performs review of clinical documentation to assess quality of patient
care, identify areas of risk and opportunity for improved patient satisfaction
based on MIPS, Quality Reporting, the ACO initiative and other required payer managed care quality
reporting metrics. This position is also
responsible for review, data mining and abstraction of clinical data for
regulatory data submission and identification to include communication of
trends and patterns in data that will facilitate quality improvement.
ESSENTIAL DUTIES AND
RESPONSIBILITIES –
Other duties may be assigned.
Performs
initial clinical reviews for quality and risk metrics, composes clear and
concise summary of pertinent information that will assist in determining need
for further review or follow-up action. Performs
clinical review, data mining and abstraction, utilizing clinical knowledge and
pre-established data requirements, of cases selected for mandatory and
voluntary reporting requirements and performance improvement initiatives, to
include meaningful use, PQRS, HEDIS and other required governmental payer and
managed care reporting metrics. Demonstrates
proficiency and accuracy in clinical reviews and data reporting based on
ongoing literature and measured by validation reports. Error correction is concise, accurate, and
timely. Data input is documented in appropriate web-based tool and/or area
designated by systems coordinator, Revenue Cycle Manager or Director. Identifies
and provides feedback on patterns or trends in data that will assist in
facilitating improvement efforts. Makes
appropriate referrals to management, and/or other quality team members to communicate
issues identified. Assists
with data analysis and report preparation to track progress of mandatory and/or
voluntary studies and identifies focus areas for performance improvement. Keeps
current on regulatory and accreditation requirements related to quality
functions and specifications. Works to ensure current guidelines are being met
for documentation of key quality measures. Functions as liaison to other team
members and providers when specifications change or updates are required to data
abstraction elements or process. Works
autonomously and possesses excellent problem solving skills, and is able to
complete assigned duties within timeframe given. Excellent
communication and teamwork skills and is able to advocate for service
excellence and clinical quality proficiency leading to positive results with
quality initiatives. Stays
current on all CPT and ICD-10 changes/issues and insurance/contractual updates
that affect reimbursement in order to keep physicians and providers informed. Has working
knowledge of electronic medical record system in order to review documentation,
schedules, and determine levels of evaluation and management visits. Audits
revenue and payments on a daily basis. Fields
questions by physicians regarding codes, charges, payments, etc. Documents conversations and actions.
EDUCATION, EXPERIENCE AND QUALIFICATIONS
Associate Degree in Healthcare or related
field with minimum 3 years related experience or Bachelor's Degree in
Healthcare or related field with minimum of 1 year related experience. Medical coding in a physician group, hospital
setting, or other medical setting. Comprehensive knowledge of medical,
diagnostic, and procedural terminology required Experience using PC applications such as MS
Word, Excel, and PowerPoint NCH Physician Group is a technologically
advanced group medical practice utilizing Electronic Medical Records; the
ability to utilize and understand a Windows-Based environment is essential. Strong ability in clinical quality measurement
and statistics. Ability to read and interpret medical data. Possess a strong attention to detail, a
personal commitment to accuracy and excellent communication and interpersonal
skills and demonstrated organizational skills. Ability to work with and maintain confidentiality
of physician, patient, patient accounts and personal data. Capable of working under pressure in a
fast-paced environment with frequent interruptions while maintaining a
professional demeanor and control. Willingness to be flexible depending upon
department schedule needs. Must be able to prioritize and work
independently. Good customer services and communication
skills.
Feb 11, 2019
Other
The Quality Data Analyst position provides a vital link in the chain of
healthcare revenue cycle reporting. The Quality Data Analyst is responsible for
and performs review of clinical documentation to assess quality of patient
care, identify areas of risk and opportunity for improved patient satisfaction
based on MIPS, Quality Reporting, the ACO initiative and other required payer managed care quality
reporting metrics. This position is also
responsible for review, data mining and abstraction of clinical data for
regulatory data submission and identification to include communication of
trends and patterns in data that will facilitate quality improvement.
ESSENTIAL DUTIES AND
RESPONSIBILITIES –
Other duties may be assigned.
Performs
initial clinical reviews for quality and risk metrics, composes clear and
concise summary of pertinent information that will assist in determining need
for further review or follow-up action. Performs
clinical review, data mining and abstraction, utilizing clinical knowledge and
pre-established data requirements, of cases selected for mandatory and
voluntary reporting requirements and performance improvement initiatives, to
include meaningful use, PQRS, HEDIS and other required governmental payer and
managed care reporting metrics. Demonstrates
proficiency and accuracy in clinical reviews and data reporting based on
ongoing literature and measured by validation reports. Error correction is concise, accurate, and
timely. Data input is documented in appropriate web-based tool and/or area
designated by systems coordinator, Revenue Cycle Manager or Director. Identifies
and provides feedback on patterns or trends in data that will assist in
facilitating improvement efforts. Makes
appropriate referrals to management, and/or other quality team members to communicate
issues identified. Assists
with data analysis and report preparation to track progress of mandatory and/or
voluntary studies and identifies focus areas for performance improvement. Keeps
current on regulatory and accreditation requirements related to quality
functions and specifications. Works to ensure current guidelines are being met
for documentation of key quality measures. Functions as liaison to other team
members and providers when specifications change or updates are required to data
abstraction elements or process. Works
autonomously and possesses excellent problem solving skills, and is able to
complete assigned duties within timeframe given. Excellent
communication and teamwork skills and is able to advocate for service
excellence and clinical quality proficiency leading to positive results with
quality initiatives. Stays
current on all CPT and ICD-10 changes/issues and insurance/contractual updates
that affect reimbursement in order to keep physicians and providers informed. Has working
knowledge of electronic medical record system in order to review documentation,
schedules, and determine levels of evaluation and management visits. Audits
revenue and payments on a daily basis. Fields
questions by physicians regarding codes, charges, payments, etc. Documents conversations and actions.
EDUCATION, EXPERIENCE AND QUALIFICATIONS
Associate Degree in Healthcare or related
field with minimum 3 years related experience or Bachelor's Degree in
Healthcare or related field with minimum of 1 year related experience. Medical coding in a physician group, hospital
setting, or other medical setting. Comprehensive knowledge of medical,
diagnostic, and procedural terminology required Experience using PC applications such as MS
Word, Excel, and PowerPoint NCH Physician Group is a technologically
advanced group medical practice utilizing Electronic Medical Records; the
ability to utilize and understand a Windows-Based environment is essential. Strong ability in clinical quality measurement
and statistics. Ability to read and interpret medical data. Possess a strong attention to detail, a
personal commitment to accuracy and excellent communication and interpersonal
skills and demonstrated organizational skills. Ability to work with and maintain confidentiality
of physician, patient, patient accounts and personal data. Capable of working under pressure in a
fast-paced environment with frequent interruptions while maintaining a
professional demeanor and control. Willingness to be flexible depending upon
department schedule needs. Must be able to prioritize and work
independently. Good customer services and communication
skills.
Central Maine Medical Center
Central Maine Medical Center Lewiston Maine 04240 US
Job Summary: The Application Support Analyst is responsible for assisting in the design, delivery, and improvement of software applications training programs and related courseware. The Application Support Analyst also delivers support to end users in the organization about how to use various types of software programs efficiently and effectively in fulfilling business objectives. This includes troubleshooting applications and software for all internal customers, such as operations, development, and other business units. Primary applications supported include Cerner Practice Management, SchedAppBook, Revenue Cycle and Televox.
Requirements: Bachelor's degree or equivalent experience required. Two to five years' experience supporting healthcare information systems, particularly patient scheduling, registration and appointment reminder solutions required.
Knowledge/Experience: Proven experience with troubleshooting principles, methodologies, and issue resolution techniques. Experience working in a team-oriented, collaborative environment. Knowledge of trends in technology relating to software applications. Good understanding of the organization's goals and objectives. In-depth, hands-on knowledge of and experience with enterprise and desktop applications.
Personal Attributes: Highly self-motivated and directed. Ability to absorb new ideas and concepts quickly. Good analytical and problem-solving abilities. Ability to effectively prioritize and execute tasks in a high-pressure environment. Ability to conduct research into software development and delivery concepts, as well a technical application issues. Able to develop and interpret technical documentation for training and end user procedures. Very strong customer service orientation. Excellent written, oral, interpersonal, and presentational skills.
Feb 10, 2019
Other
Job Summary: The Application Support Analyst is responsible for assisting in the design, delivery, and improvement of software applications training programs and related courseware. The Application Support Analyst also delivers support to end users in the organization about how to use various types of software programs efficiently and effectively in fulfilling business objectives. This includes troubleshooting applications and software for all internal customers, such as operations, development, and other business units. Primary applications supported include Cerner Practice Management, SchedAppBook, Revenue Cycle and Televox.
Requirements: Bachelor's degree or equivalent experience required. Two to five years' experience supporting healthcare information systems, particularly patient scheduling, registration and appointment reminder solutions required.
Knowledge/Experience: Proven experience with troubleshooting principles, methodologies, and issue resolution techniques. Experience working in a team-oriented, collaborative environment. Knowledge of trends in technology relating to software applications. Good understanding of the organization's goals and objectives. In-depth, hands-on knowledge of and experience with enterprise and desktop applications.
Personal Attributes: Highly self-motivated and directed. Ability to absorb new ideas and concepts quickly. Good analytical and problem-solving abilities. Ability to effectively prioritize and execute tasks in a high-pressure environment. Ability to conduct research into software development and delivery concepts, as well a technical application issues. Able to develop and interpret technical documentation for training and end user procedures. Very strong customer service orientation. Excellent written, oral, interpersonal, and presentational skills.
Central Maine Medical Center
Central Maine Medical Center Lewiston Maine 04240 US
Job Summary: The Application Support Analyst is responsible for assisting in the design, delivery, and improvement of software applications training programs and related courseware. The Application Support Analyst also delivers support to end users in the organization about how to use various types of software programs efficiently and effectively in fulfilling business objectives. This includes troubleshooting applications and software for all internal customers, such as operations, development, and other business units. Primary applications supported include Cerner and Lawson with several adjunct solutions.
Requirements: Bachelor's degree or equivalent experience required. Two to five years' experience supporting healthcare information systems, particularly Finance, Revenue Cycle and Charge Services required.
Knowledge/Experience: Proven experience with troubleshooting principles, methodologies, and issue resolution techniques. Experience working in a team-oriented, collaborative environment. Knowledge of trends in technology relating to software applications. Good understanding of the organization's goals and objectives. In-depth, hands-on knowledge of and experience with enterprise and desktop applications.
Personal Attributes: Highly self-motivated and directed. Ability to absorb new ideas and concepts quickly. Good analytical and problem-solving abilities. Ability to effectively prioritize and execute tasks in a high-pressure environment. Ability to conduct research into software development and delivery concepts, as well a technical application issues. Able to develop and interpret technical documentation for training and end user procedures. Very strong customer service orientation. Excellent written, oral, interpersonal, and presentational skills.
Feb 10, 2019
Other
Job Summary: The Application Support Analyst is responsible for assisting in the design, delivery, and improvement of software applications training programs and related courseware. The Application Support Analyst also delivers support to end users in the organization about how to use various types of software programs efficiently and effectively in fulfilling business objectives. This includes troubleshooting applications and software for all internal customers, such as operations, development, and other business units. Primary applications supported include Cerner and Lawson with several adjunct solutions.
Requirements: Bachelor's degree or equivalent experience required. Two to five years' experience supporting healthcare information systems, particularly Finance, Revenue Cycle and Charge Services required.
Knowledge/Experience: Proven experience with troubleshooting principles, methodologies, and issue resolution techniques. Experience working in a team-oriented, collaborative environment. Knowledge of trends in technology relating to software applications. Good understanding of the organization's goals and objectives. In-depth, hands-on knowledge of and experience with enterprise and desktop applications.
Personal Attributes: Highly self-motivated and directed. Ability to absorb new ideas and concepts quickly. Good analytical and problem-solving abilities. Ability to effectively prioritize and execute tasks in a high-pressure environment. Ability to conduct research into software development and delivery concepts, as well a technical application issues. Able to develop and interpret technical documentation for training and end user procedures. Very strong customer service orientation. Excellent written, oral, interpersonal, and presentational skills.
VCU Health System (Medical College of Virginia)
VCU Health System - MCV Hospitals Richmond Virginia 23219 US
VCU Health System's Clinical Research Office is seeking a full time Research Financial & Operations Analyst to serve as a key stakeholder in the financial
operationalizing of clinical research studies organization-wide. Develops,
coordinates, oversees pre-award financial administration issues related to
clinical research projects and services.
Work closely with physicians, study teams, and health system departments
to build coverage analysis upon which they will build internal cost-based study-specific
budgets, thereby constructing the foundation for billing of services provided
for clinical trials that is compliant with federal, state, and institutional
regulations. Communicate the results of the study-specific financial plan with
the Principal Investigator, facilitate related negotiations with sponsors, and
communicate identified funding gaps to appropriate leadership. In addition, support
data base maintenance, monitor quality assurance, and communicates/reports
deliverables. Coordinates the budgeting and coverage analysis
requirements for all clinical research conducted utilizing VCUHS services,
patients and/or data.
Works closely with physicians, research coordinators
and department administrators to operationalize research protocols Develops,
populates, and maintains study-specific Patient Protocol Manager (PPM) billing
grid. Communicates effectively
and efficiently the budget amendments to revenue cycle. Engages and
establishes relationships with investigators, research coordinators, and
department staff conducting clinical trials through on-site meetings and
interactions to continuously support budgeting and billing activities. Partners with
Principal Investigators, study teams, clinical departments to ensure complete,
comprehensive, accurate, and timely budgets. Serves as a
clinical research resource for sites and site personnel. Contributes to rate setting decisions to ensure
compliance with federal, state, and organizational policies and regulations Demonstrates
comprehension of coding and billing regulations as determined by CMS and federal,
state, and institutional regulations. Coordinates with
research study staff and health system departments to identify and interact
efficiently to maximize use of health system resources. Qualifications Required Bachelor's Degree in Health related, or Business
related field Five
(5) years of work experience in clinical research or healthcare revenue
cycle Significant
knowledge of Medicare and Medicaid rules and regulations and functional knowledge
of essential National Coverage Decisions;
Advanced
experience using various software applications, including Microsoft Office Excel
and Word, etc. Preferred Master's in Health-related field, Registered
Nurse, or equivalent Experience
in research revenue cycle Experience
in clinical trial budgeting Experience
with clinical practice guidelines Experience
with protocols, study coordination, and/or coverage analysis and financial/budgeting
for clinical trials Knowledge of clinical
trial protocols; Minimum
of five (5) years of work in a team environment
Knowledge of
hospital and physician coding.
Feb 10, 2019
Other
VCU Health System's Clinical Research Office is seeking a full time Research Financial & Operations Analyst to serve as a key stakeholder in the financial
operationalizing of clinical research studies organization-wide. Develops,
coordinates, oversees pre-award financial administration issues related to
clinical research projects and services.
Work closely with physicians, study teams, and health system departments
to build coverage analysis upon which they will build internal cost-based study-specific
budgets, thereby constructing the foundation for billing of services provided
for clinical trials that is compliant with federal, state, and institutional
regulations. Communicate the results of the study-specific financial plan with
the Principal Investigator, facilitate related negotiations with sponsors, and
communicate identified funding gaps to appropriate leadership. In addition, support
data base maintenance, monitor quality assurance, and communicates/reports
deliverables. Coordinates the budgeting and coverage analysis
requirements for all clinical research conducted utilizing VCUHS services,
patients and/or data.
Works closely with physicians, research coordinators
and department administrators to operationalize research protocols Develops,
populates, and maintains study-specific Patient Protocol Manager (PPM) billing
grid. Communicates effectively
and efficiently the budget amendments to revenue cycle. Engages and
establishes relationships with investigators, research coordinators, and
department staff conducting clinical trials through on-site meetings and
interactions to continuously support budgeting and billing activities. Partners with
Principal Investigators, study teams, clinical departments to ensure complete,
comprehensive, accurate, and timely budgets. Serves as a
clinical research resource for sites and site personnel. Contributes to rate setting decisions to ensure
compliance with federal, state, and organizational policies and regulations Demonstrates
comprehension of coding and billing regulations as determined by CMS and federal,
state, and institutional regulations. Coordinates with
research study staff and health system departments to identify and interact
efficiently to maximize use of health system resources. Qualifications Required Bachelor's Degree in Health related, or Business
related field Five
(5) years of work experience in clinical research or healthcare revenue
cycle Significant
knowledge of Medicare and Medicaid rules and regulations and functional knowledge
of essential National Coverage Decisions;
Advanced
experience using various software applications, including Microsoft Office Excel
and Word, etc. Preferred Master's in Health-related field, Registered
Nurse, or equivalent Experience
in research revenue cycle Experience
in clinical trial budgeting Experience
with clinical practice guidelines Experience
with protocols, study coordination, and/or coverage analysis and financial/budgeting
for clinical trials Knowledge of clinical
trial protocols; Minimum
of five (5) years of work in a team environment
Knowledge of
hospital and physician coding.
VCU Health System (Medical College of Virginia)
VCU Health System - MCV Hospitals Richmond Virginia 23219 US
VCU Health System's Clinical Research Office is seeking a full time Research Financial & Operations Analyst to serve as a key stakeholder in the financial
operationalizing of clinical research studies organization-wide. Develops,
coordinates, oversees pre-award financial administration issues related to
clinical research projects and services.
Work closely with physicians, study teams, and health system departments
to build coverage analysis upon which they will build internal cost-based study-specific
budgets, thereby constructing the foundation for billing of services provided
for clinical trials that is compliant with federal, state, and institutional
regulations. Communicate the results of the study-specific financial plan with
the Principal Investigator, facilitate related negotiations with sponsors, and
communicate identified funding gaps to appropriate leadership. In addition, support
data base maintenance, monitor quality assurance, and communicates/reports
deliverables. Coordinates the budgeting and coverage analysis
requirements for all clinical research conducted utilizing VCUHS services,
patients and/or data.
Works closely with physicians, research coordinators
and department administrators to operationalize research protocols Develops,
populates, and maintains study-specific Patient Protocol Manager (PPM) billing
grid. Communicates effectively
and efficiently the budget amendments to revenue cycle. Engages and
establishes relationships with investigators, research coordinators, and
department staff conducting clinical trials through on-site meetings and
interactions to continuously support budgeting and billing activities. Partners with
Principal Investigators, study teams, clinical departments to ensure complete,
comprehensive, accurate, and timely budgets. Serves as a
clinical research resource for sites and site personnel. Contributes to rate setting decisions to ensure
compliance with federal, state, and organizational policies and regulations Demonstrates
comprehension of coding and billing regulations as determined by CMS and federal,
state, and institutional regulations. Coordinates with
research study staff and health system departments to identify and interact
efficiently to maximize use of health system resources. Qualifications Required Bachelor's Degree in Health related, or Business
related field Five
(5) years of work experience in clinical research or healthcare revenue
cycle Significant
knowledge of Medicare and Medicaid rules and regulations and functional knowledge
of essential National Coverage Decisions;
Advanced
experience using various software applications, including Microsoft Office Excel
and Word, etc. Preferred Master's in Health-related field, Registered
Nurse, or equivalent Experience
in research revenue cycle Experience
in clinical trial budgeting Experience
with clinical practice guidelines Experience
with protocols, study coordination, and/or coverage analysis and financial/budgeting
for clinical trials Knowledge of clinical
trial protocols; Minimum
of five (5) years of work in a team environment
Knowledge of
hospital and physician coding.
Feb 10, 2019
Other
VCU Health System's Clinical Research Office is seeking a full time Research Financial & Operations Analyst to serve as a key stakeholder in the financial
operationalizing of clinical research studies organization-wide. Develops,
coordinates, oversees pre-award financial administration issues related to
clinical research projects and services.
Work closely with physicians, study teams, and health system departments
to build coverage analysis upon which they will build internal cost-based study-specific
budgets, thereby constructing the foundation for billing of services provided
for clinical trials that is compliant with federal, state, and institutional
regulations. Communicate the results of the study-specific financial plan with
the Principal Investigator, facilitate related negotiations with sponsors, and
communicate identified funding gaps to appropriate leadership. In addition, support
data base maintenance, monitor quality assurance, and communicates/reports
deliverables. Coordinates the budgeting and coverage analysis
requirements for all clinical research conducted utilizing VCUHS services,
patients and/or data.
Works closely with physicians, research coordinators
and department administrators to operationalize research protocols Develops,
populates, and maintains study-specific Patient Protocol Manager (PPM) billing
grid. Communicates effectively
and efficiently the budget amendments to revenue cycle. Engages and
establishes relationships with investigators, research coordinators, and
department staff conducting clinical trials through on-site meetings and
interactions to continuously support budgeting and billing activities. Partners with
Principal Investigators, study teams, clinical departments to ensure complete,
comprehensive, accurate, and timely budgets. Serves as a
clinical research resource for sites and site personnel. Contributes to rate setting decisions to ensure
compliance with federal, state, and organizational policies and regulations Demonstrates
comprehension of coding and billing regulations as determined by CMS and federal,
state, and institutional regulations. Coordinates with
research study staff and health system departments to identify and interact
efficiently to maximize use of health system resources. Qualifications Required Bachelor's Degree in Health related, or Business
related field Five
(5) years of work experience in clinical research or healthcare revenue
cycle Significant
knowledge of Medicare and Medicaid rules and regulations and functional knowledge
of essential National Coverage Decisions;
Advanced
experience using various software applications, including Microsoft Office Excel
and Word, etc. Preferred Master's in Health-related field, Registered
Nurse, or equivalent Experience
in research revenue cycle Experience
in clinical trial budgeting Experience
with clinical practice guidelines Experience
with protocols, study coordination, and/or coverage analysis and financial/budgeting
for clinical trials Knowledge of clinical
trial protocols; Minimum
of five (5) years of work in a team environment
Knowledge of
hospital and physician coding.
Wellforce
185 Harrison Avenue Boston Massachusetts 02111 United States
The Senior Financial Analyst will report to the Manager of Financial Analysis and is responsible for carrying out financial analytical support for all areas of Finance including Managed Care Finance, Decision Support, Budget, Charge Control, and Reimbursement. Experience with payor methodologies, cost accounting, ROI analyses, hospital financial systems, and knowledge of hospital operations is essential. The position works with physicians, researchers, and managers regarding patient level utilization, clinical cost accounting, and system utilization. The Senior Financial Analyst will also be responsible for ensuring the consistency of reported data from TSI.
Responsibilities:
Works with department manager on financial analysis for new and existing programs.
Support all aspects of the analysis including capital investments, staffing analysis, other operating costs, statistics, and net revenue assumptions, in order to develop contribution, break-even, and ROI analyses.
Analyzes the Medical Center’s financial arrangements with related organizations including, but not limited to, the payment to physicians for professional services provided to the hospital-based clinics.
Prepares financial information for both internal and external reporting including senior management, Finance Committee, bond insurers, governmental agencies, regulatory bodies, trade associations, and 3rd party payors.
Works with the Business Development and Planning Department, develops financial analysis and reporting tools for use with the development of new Clinical Product Lines.
Works with the managers and staff of other departments such Managed Care Finance, Decision Support, Budget, Charge Control, and Reimbursement on the completion of analyses in support of Finance initiatives
Works with managers of clinic departments, Hospital administration and physician leadership on financial analysis related to volume, profit and loss, and other areas as appropriate.
Supports the Revenue Cycle initiative by performing financial analysis as requested.
Supports the needs of the payor contracting function with appropriate financial data, if necessary.
Maintains collaborative team relationships with peers and colleagues in order to effectively contribute to the working group’s achievement of goals, and to help foster a positive work environment.
Performs other similar job related duties as required or directed.
Requirements:
Bachelor’s degree in Finance, Accounting or related field is required.
Expert use of Microsoft Office products including Excel, Word, PowerPoint, and Access.
Extensive knowledge of payor reimbursement rules and methodologies, as well as hospital operations, is essential.
Knowledge of Cost Accounting is essential.
Knowledge of TSI is required.
Knowledge of SMS billing is a plus.
Demonstrates excellent verbal and written communication skills.
Feb 10, 2019
Full-time
The Senior Financial Analyst will report to the Manager of Financial Analysis and is responsible for carrying out financial analytical support for all areas of Finance including Managed Care Finance, Decision Support, Budget, Charge Control, and Reimbursement. Experience with payor methodologies, cost accounting, ROI analyses, hospital financial systems, and knowledge of hospital operations is essential. The position works with physicians, researchers, and managers regarding patient level utilization, clinical cost accounting, and system utilization. The Senior Financial Analyst will also be responsible for ensuring the consistency of reported data from TSI.
Responsibilities:
Works with department manager on financial analysis for new and existing programs.
Support all aspects of the analysis including capital investments, staffing analysis, other operating costs, statistics, and net revenue assumptions, in order to develop contribution, break-even, and ROI analyses.
Analyzes the Medical Center’s financial arrangements with related organizations including, but not limited to, the payment to physicians for professional services provided to the hospital-based clinics.
Prepares financial information for both internal and external reporting including senior management, Finance Committee, bond insurers, governmental agencies, regulatory bodies, trade associations, and 3rd party payors.
Works with the Business Development and Planning Department, develops financial analysis and reporting tools for use with the development of new Clinical Product Lines.
Works with the managers and staff of other departments such Managed Care Finance, Decision Support, Budget, Charge Control, and Reimbursement on the completion of analyses in support of Finance initiatives
Works with managers of clinic departments, Hospital administration and physician leadership on financial analysis related to volume, profit and loss, and other areas as appropriate.
Supports the Revenue Cycle initiative by performing financial analysis as requested.
Supports the needs of the payor contracting function with appropriate financial data, if necessary.
Maintains collaborative team relationships with peers and colleagues in order to effectively contribute to the working group’s achievement of goals, and to help foster a positive work environment.
Performs other similar job related duties as required or directed.
Requirements:
Bachelor’s degree in Finance, Accounting or related field is required.
Expert use of Microsoft Office products including Excel, Word, PowerPoint, and Access.
Extensive knowledge of payor reimbursement rules and methodologies, as well as hospital operations, is essential.
Knowledge of Cost Accounting is essential.
Knowledge of TSI is required.
Knowledge of SMS billing is a plus.
Demonstrates excellent verbal and written communication skills.
Lehigh Valley Health Network
1200 South Cedar Crest Blvd Allentown Pennsylvania 18103 United States
Job Summary: Exhibits a high degree of expertise in one or more specialized areas supporting Epic EHR. Provides technical and organizational leadership in area (s) of specialization. May assume group and/or medium project management as assigned. Provides support and guidance to assigned functional management throughout organization, acting in the capacity of functional, business or information consultant. Solves technical or organizational problems utilizing knowledge in area (s) of specialization. Expected to focus 80% or more time engaged in supporting Epic design, build, testing and support. Reports to Manager or Director level in Information Services.
Minimum Requirements: Work requires the level of knowledge normally attained through completion of a Bachelor's degree in Computer Science or Information Management.
Minimum of 1 year of application build, implementation and support experience in addition to 4 years progressive experience in Information Services or combination of Information Services and direct Health Care experience. Small to Medium-scale implementation/upgrades Test plans development.
Information Technology Experience and/or Healthcare Operations Experience EPIC Application Certification or attainment of 1 Current EPIC Clinical/Revenue Cycle Application Certification within 4 months of start. Project Management of Large Initiatives Implementation/Upgrade Support Applications Planning, Development and Implementation Technical Collaboration (e.g. Interfaces, Hardware and Reporting) Triaging On-call/DR/BC Strong oral and written communication skills This role will require knowledge of Payer enrollment forms, primarily PA Medicaid enrollment/revalidations as they will be responsible for managing all hospital payer enrollments, including PA MA as well as ERA and EFT submissions. They will be responsible for following up with the payer systems/EDI departments to ensure all systems were properly updated with the enrollment information.
Preferred Qualifications: BS/MS Computer Science or Healthcare
2-4 years of direct Epic build on current software version 3-5 years progressive experience in Information Services or combination of Information Services and direct Health Care experience
Licensure and Certifications: No
Feb 07, 2019
full time 40 hours
Job Summary: Exhibits a high degree of expertise in one or more specialized areas supporting Epic EHR. Provides technical and organizational leadership in area (s) of specialization. May assume group and/or medium project management as assigned. Provides support and guidance to assigned functional management throughout organization, acting in the capacity of functional, business or information consultant. Solves technical or organizational problems utilizing knowledge in area (s) of specialization. Expected to focus 80% or more time engaged in supporting Epic design, build, testing and support. Reports to Manager or Director level in Information Services.
Minimum Requirements: Work requires the level of knowledge normally attained through completion of a Bachelor's degree in Computer Science or Information Management.
Minimum of 1 year of application build, implementation and support experience in addition to 4 years progressive experience in Information Services or combination of Information Services and direct Health Care experience. Small to Medium-scale implementation/upgrades Test plans development.
Information Technology Experience and/or Healthcare Operations Experience EPIC Application Certification or attainment of 1 Current EPIC Clinical/Revenue Cycle Application Certification within 4 months of start. Project Management of Large Initiatives Implementation/Upgrade Support Applications Planning, Development and Implementation Technical Collaboration (e.g. Interfaces, Hardware and Reporting) Triaging On-call/DR/BC Strong oral and written communication skills This role will require knowledge of Payer enrollment forms, primarily PA Medicaid enrollment/revalidations as they will be responsible for managing all hospital payer enrollments, including PA MA as well as ERA and EFT submissions. They will be responsible for following up with the payer systems/EDI departments to ensure all systems were properly updated with the enrollment information.
Preferred Qualifications: BS/MS Computer Science or Healthcare
2-4 years of direct Epic build on current software version 3-5 years progressive experience in Information Services or combination of Information Services and direct Health Care experience
Licensure and Certifications: No
Eastern Maine Healthcare
Mercy/Northern Light Heath Portland Maine 04101 US
This position is Located at Mercy Hospital in Portland, Maine and employed by Home Office in Brewer, Maine.
Job Summary:
The role the Revenue Cycle Analyst is to assist Northern Light Health organizations in identifying and implementing process improvements in an effort to operate a "best in class" revenue cycle. This position serves in a key role to improve the overall effectiveness of revenue cycle policy, practices and technology platforms for all Northern Light Health organizations.
The Revenue Cycle Analyst - Intermediate is an analytical and process improvement role with a primary focus of working on revenue cycle tasks directed by department leaders with the purpose of improving revenue cycle process outcomes. This position requires competency in revenue cycle, financial, business, clinical, CDM, or other analytical skills with a focus on key performance metrics. The Analyst will serve as a resource for teams working on major, complex performance improvement efforts that affect multiple facility and clinical practice revenue cycle protocols throughout Northern Light Health.
It is critical that this position be highly effective in delivering the services described in the Duties and Responsibility and work harmoniously with staff across Northern Light Health. Effectiveness will be measured in terms of results, commitment to Northern Light Health and customer satisfaction.
This position is a member of the Northern Light Health Revenue Cycle team. Duties may be changed or reassigned by the Chief Revenue Officer as need arises.
Job Functions and Duties :
The Revenue Cycle Analyst –Intermediate, Revenue Integrity reports to the System Director Revenue Integrity.
This position is an analytical role with a primary focus of working on revenue cycle tasks directed by Managers and Directors with the purpose of improving revenue cycle process outcomes. This position requires excellent ability to write, type and edit correspondence, reports and presentations; to be well organized and able to meet deadlines; and be proficient with Microsoft Office products and database management. The position requires flexibility to perform under various revenue cycle initiatives. The Analyst-Intermediate will serve as a resource for teams working on major, complex performance improvement efforts that affect multiple facilities and clinical practice revenue cycle protocols throughout Northern Light Health.
Effectiveness of this position shall be measured in terms of assisting teams to achieve financial and other tactic, high quality output, and customer service satisfaction.
General
1. Performs root cause analysis to understand the business issues and summarize data challenges for all Northern Light Health organizations.
2. Provides support for inquiries or issues related to improvement. May assist with research, diagnosis and help resolve problems and escalates to senior leadership as needed.
3. Applies appropriate reconciliation and testing to analytical results to provide high quality and accurate results.
4. Assists in data interpretation, communication, and presentations around key performance indicators.
5. Assists in gap analysis and transforming data into useful information.
6. Update scorecards and other data tools to help provide actionable information.
7. Review and analyze Revenue Integrity functions to identify fragmented processes and make recommendations for improvement.
8. Assist with special analysis and projects as needed.
9. Coordinate a collaborative process for the development of policies, procedures, and internal controls.
10. Work collaboratively with manager / director to identify best practices and help develop performance standards that can be tracked and reported.
11. Work collaboratively with management personnel to identify processes that negatively impact net revenue.
Note: the duties listed above reflect the majority of the duties of this job and does not, nor is it intended to, reflect all duties that may be required for an incumbent in this job to perform.
Professional Development
12. Attend local, regional, and WebEx seminars to remain current in supporting the needs of revenue cycle activities.
13. Remain current in data analytics knowledge by attending various seminars and classes relevant to current business needs.
14. Maintains current knowledge of regulatory developments involving agencies such as CMS and MHA.
Education and Experience:
· Bachelor's degree required. Eight years progressive, relevant knowledge toward mastery in the field accepted in lieu of Bachelor's degree.
· Three or more years of progressively responsible experience in revenue cycle operations.
· Demonstrated experience in gathering and analyzing information skillfully, develops alternative solutions
· Demonstrated experience in diagnosing, evaluating and developing corrective actions for problems in revenue cycle operations.
· Experience with EMHS Software, data and business information is preferred.
Knowledge, Skills, and Abilities:
· Detailed knowledge of Revenue Cycle, reimbursement, data streams, and auditing principles.
· Knowledge of business analysis techniques is preferred.
· Working knowledge of all functional areas of the revenue cycle, including contract and denial management, CDM and charge capture management, and strategic pricing.
· Working knowledge of Medical Terminology, Current Procedural Coding (CPT, HCPCS), Diagnostic Coding (ICD-10), and HIPAA ANSI codes (remark and adjustment codes).
· Excellent communications skills, both oral and written.
· Intermediate Microsoft software knowledge and ability to train/assist end-users.
· Ability to interpret an extensive variety of instructions furnished in written, oral, diagram, or schematic form.
· Creative and "outside of the box" problem solver is necessary for this position.
· Flexible and able to react to ever changing priorities.
Travel Requirements:
· 15 – 50% travel may be required.
· Employee must have a valid drivers' license and possess own transportation.
Feb 06, 2019
Other
This position is Located at Mercy Hospital in Portland, Maine and employed by Home Office in Brewer, Maine.
Job Summary:
The role the Revenue Cycle Analyst is to assist Northern Light Health organizations in identifying and implementing process improvements in an effort to operate a "best in class" revenue cycle. This position serves in a key role to improve the overall effectiveness of revenue cycle policy, practices and technology platforms for all Northern Light Health organizations.
The Revenue Cycle Analyst - Intermediate is an analytical and process improvement role with a primary focus of working on revenue cycle tasks directed by department leaders with the purpose of improving revenue cycle process outcomes. This position requires competency in revenue cycle, financial, business, clinical, CDM, or other analytical skills with a focus on key performance metrics. The Analyst will serve as a resource for teams working on major, complex performance improvement efforts that affect multiple facility and clinical practice revenue cycle protocols throughout Northern Light Health.
It is critical that this position be highly effective in delivering the services described in the Duties and Responsibility and work harmoniously with staff across Northern Light Health. Effectiveness will be measured in terms of results, commitment to Northern Light Health and customer satisfaction.
This position is a member of the Northern Light Health Revenue Cycle team. Duties may be changed or reassigned by the Chief Revenue Officer as need arises.
Job Functions and Duties :
The Revenue Cycle Analyst –Intermediate, Revenue Integrity reports to the System Director Revenue Integrity.
This position is an analytical role with a primary focus of working on revenue cycle tasks directed by Managers and Directors with the purpose of improving revenue cycle process outcomes. This position requires excellent ability to write, type and edit correspondence, reports and presentations; to be well organized and able to meet deadlines; and be proficient with Microsoft Office products and database management. The position requires flexibility to perform under various revenue cycle initiatives. The Analyst-Intermediate will serve as a resource for teams working on major, complex performance improvement efforts that affect multiple facilities and clinical practice revenue cycle protocols throughout Northern Light Health.
Effectiveness of this position shall be measured in terms of assisting teams to achieve financial and other tactic, high quality output, and customer service satisfaction.
General
1. Performs root cause analysis to understand the business issues and summarize data challenges for all Northern Light Health organizations.
2. Provides support for inquiries or issues related to improvement. May assist with research, diagnosis and help resolve problems and escalates to senior leadership as needed.
3. Applies appropriate reconciliation and testing to analytical results to provide high quality and accurate results.
4. Assists in data interpretation, communication, and presentations around key performance indicators.
5. Assists in gap analysis and transforming data into useful information.
6. Update scorecards and other data tools to help provide actionable information.
7. Review and analyze Revenue Integrity functions to identify fragmented processes and make recommendations for improvement.
8. Assist with special analysis and projects as needed.
9. Coordinate a collaborative process for the development of policies, procedures, and internal controls.
10. Work collaboratively with manager / director to identify best practices and help develop performance standards that can be tracked and reported.
11. Work collaboratively with management personnel to identify processes that negatively impact net revenue.
Note: the duties listed above reflect the majority of the duties of this job and does not, nor is it intended to, reflect all duties that may be required for an incumbent in this job to perform.
Professional Development
12. Attend local, regional, and WebEx seminars to remain current in supporting the needs of revenue cycle activities.
13. Remain current in data analytics knowledge by attending various seminars and classes relevant to current business needs.
14. Maintains current knowledge of regulatory developments involving agencies such as CMS and MHA.
Education and Experience:
· Bachelor's degree required. Eight years progressive, relevant knowledge toward mastery in the field accepted in lieu of Bachelor's degree.
· Three or more years of progressively responsible experience in revenue cycle operations.
· Demonstrated experience in gathering and analyzing information skillfully, develops alternative solutions
· Demonstrated experience in diagnosing, evaluating and developing corrective actions for problems in revenue cycle operations.
· Experience with EMHS Software, data and business information is preferred.
Knowledge, Skills, and Abilities:
· Detailed knowledge of Revenue Cycle, reimbursement, data streams, and auditing principles.
· Knowledge of business analysis techniques is preferred.
· Working knowledge of all functional areas of the revenue cycle, including contract and denial management, CDM and charge capture management, and strategic pricing.
· Working knowledge of Medical Terminology, Current Procedural Coding (CPT, HCPCS), Diagnostic Coding (ICD-10), and HIPAA ANSI codes (remark and adjustment codes).
· Excellent communications skills, both oral and written.
· Intermediate Microsoft software knowledge and ability to train/assist end-users.
· Ability to interpret an extensive variety of instructions furnished in written, oral, diagram, or schematic form.
· Creative and "outside of the box" problem solver is necessary for this position.
· Flexible and able to react to ever changing priorities.
Travel Requirements:
· 15 – 50% travel may be required.
· Employee must have a valid drivers' license and possess own transportation.
Peninsula Regional Medical Center
Peninsula Regional Medical Center Salisbury Maryland 21801 US
Position Summary
The Application Analyst provides analytical expertise in the development and implementation of system-related clinical, access, revenue cycle, decision support and quality improvement applications. He / she will support new project development including system analysis, planning and preparation. Develop, support and maintain documentation and procedures as needed. Provide training to other IT staff and user clients as appropriate. Provides product function, design, and build expertise (obtains EMR module certification) and experience needed for successful product implementation. Supports all project team members with application and information systems knowledge. The Application Analyst is a member of the team of primary resources dedicated to designing, building, testing, and activating the application database. Develops and maintains models and documentation of business and system requirements and configures system accordingly. Documents and maintains all required system design and build documents. Contributes to preparation of testing scripts and materials and performs unit, system, and integrated testing tasks. Works with training team to develop application specific training curriculums and materials. Provides expertise and experience to the development of activation plans, application activation tasks, and production environment readiness. Logs, tracks, and resolves issues as well as any software code modifications or enhancements
Position Requirements
Education
Bachelor's degree preferred. Extensive work experience may be considered in lieu of educational requirements on a case-by-case basis.
Obtain Epic Certification in assigned modules within 90-days of completion of training Experience
5 years of relevant work experience in healthcare or similar fields.
Feb 05, 2019
Other
Position Summary
The Application Analyst provides analytical expertise in the development and implementation of system-related clinical, access, revenue cycle, decision support and quality improvement applications. He / she will support new project development including system analysis, planning and preparation. Develop, support and maintain documentation and procedures as needed. Provide training to other IT staff and user clients as appropriate. Provides product function, design, and build expertise (obtains EMR module certification) and experience needed for successful product implementation. Supports all project team members with application and information systems knowledge. The Application Analyst is a member of the team of primary resources dedicated to designing, building, testing, and activating the application database. Develops and maintains models and documentation of business and system requirements and configures system accordingly. Documents and maintains all required system design and build documents. Contributes to preparation of testing scripts and materials and performs unit, system, and integrated testing tasks. Works with training team to develop application specific training curriculums and materials. Provides expertise and experience to the development of activation plans, application activation tasks, and production environment readiness. Logs, tracks, and resolves issues as well as any software code modifications or enhancements
Position Requirements
Education
Bachelor's degree preferred. Extensive work experience may be considered in lieu of educational requirements on a case-by-case basis.
Obtain Epic Certification in assigned modules within 90-days of completion of training Experience
5 years of relevant work experience in healthcare or similar fields.
Eastern Maine Healthcare
Northern Light Health Home Office-43 Whiting Hill Rd. Brewer Maine 04412 US
Job Summary This position will serve all Northern Light Health Member Organizations through detailed analytical review of data to drive process improvement, mitigate risks, impact to reimbursement and recommend solutions. This position will perform root cause analysis with claims, denial, payment and adjustment files leveraging our data for all of EMHS to investigate and identify trends. This position will need to interpret insurance payor policies and contracts to ensure that our findings meet the regulatory guidelines. This position is responsible for handling highly sensitive and confidential information, will regularly exercise discretion and judgment, possess excellent project management and analytical skills, is knowledgeable about business and financial matters applicable to the healthcare industry, will possess verbal and mental acuity consistent with the demands of the job. This position requires excellent time management skills and the ability to reprioritize assignments on an ongoing basis. This position will initiate, follow through and complete projects as assigned. Accurate and timely communication with internal and external customers is required. This is a fast paced position with significant interruptions. A positive and supportive attitude and the ability to refocus on the task at hand in a timely fashion is a must. This position will support management of projects, vendor and payer relationships and work closely with all levels of the Northern Light Health Patient Account Services in the Centralized Business Office. Knowledge of Claims, AR Resolution, Customer Service, Denials, Contracts, Cash Reconciliation, Credits, Adjustments, Insurance payments and other CBO functions are necessary to perform in this role. This position requires a thorough understanding of the requirements of the Government and Non-Government payment processing policies. In addition, this position is held accountable to adhere to the policies, procedures, and applicable laws. Education and Experience • Bachelor's Degree and (1) one year of general revenue cycle experience OR Associates Degree and (2) two years of healthcare specific revenue cycle experience OR High School diploma and (8) years healthcare specific revenue cycle experience. • Degree in business, finance or healthcare administration preferred.
Required Minimum Knowledge, Skills and Abilities • Detailed knowledge of billing and payment rules and regulations in a healthcare setting (Government and/or non-Government payers); multiple hospitals/physician practices preferred. • Knowledge of medical terminology, Current Procedural Terminology (CPT), and International Classification of Disease (ICD) preferred. • Experience with EMHS patient accounting software is preferred. • Must possess strong problem solving skills. • Ensures all AR resolution functions performed are compliant with applicable laws and regulations. • Excellent professional communication skills; both oral and written. • Ability to understand payer processing policies and all applicable billing rules and regulations to facilitate decision making. • Proficient with Microsoft business applications. • Strong customer service skills • Demonstrated ability to work independently and collaboratively.
Essential Functions
People • Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements.
Service • Work closely by way of problem solving with peers and leaders to address issues or changes that directly impact the accounts receivable. • Prioritizes work according to the needs of the Department Directors • Coordinate project management activities (i.e. BLMR/AMR, AR Operations Workgroup, Insurance Payer Meetings) • Coordinate AR Operations Support Meetings: Facilitate meetings, with prepared agendas, system ticket management, provide analytical support, minutes and tracks follow up tasks as assigned to maintain continuity, manage the white space between meetings and progress towards the desired EMHS outcomes. • Coordinates special projects/reports as assigned, manages project from beginning to end, and provides periodic progress updates. • Provide coverage for critical tasks as needed
Quality • Manage CBO projects as assigned: utilizing technology and healthcare business expertise to perform business and systems analysis of EMHS data to identify opportunities, risks and aid us as a system to make decisions on best practices relating to areas such as workflow and system enhancements. Ensure proper testing and validations have occurred and documentation exists for all aspects of the project. Identify project barriers and escalate issues timely to manager or department director. Develop new/updated policies and procedures prior to implementing any new practices. • Create and maintain project documentation, schedules, action plans, data analysis, reports and resources
Finance • Vendor performance: analyze and track vendor performance and report results monthly. Identify areas of risk or opportunity and escalate to manager or department. Make recommendations to improve, maximize, limit, or terminate vendor relationship based on project outcomes. • Payer Management: Provide analytical support for payer meetings. Maintain payer score cards. Develop agenda and facilitate payer meetings which will include payers and Northern Light Health CBO and Non-CBO facilities. Opening tickets as appropriate, maintaining meeting minutes and communication with all involved parties to ensure that deadlines are met. • Denials Analytics and Management: Identify and track denial trends by location. Work with Administrative and Clinical Practice Managers teams to develop corrective actions and monitor performance. • Facilitate the process of compiling and distributing monthly accounts receivable highlight packages to finance leadership teams. • Preparing monthly AR reports for the Management Team • Developing and maintaining the AR KPI Tool to measure success (i.e. AR SnapShot) • Thorough understanding the department's Key Performance Indicators.
Growth • Maintain the knowledge of Accounts Receivables in compliance with policies, regulations, procedures and standards. • Participate in monthly Payer Meetings • Attend internal education sessions to enhance or gain new skills. • Certified Revenue Cycle Professional certificate within two years of employment.
Community • Demonstrate departmental desire to provide community benefits by way of charitable events or contribution outside the four walls of the department.
Organizational Values Passion: We demonstrate a passion for caring for others and the pursuit of service excellence in all that we do. Integrity: We commit to the highest standards of behavior and doing the correct thing for the right reasons. Partnership: Working together in collaboration and teamwork is more powerful than working alone. Accountability: We take a responsible and disciplined approach to achieving our priorities and responding to an ever changing environment. Innovation: We are capable of extraordinary creativity and are willing to explore new ideas to achieve our healthcare mission. Respect: We respect the dignity, worth and rights of others.
Physical Demands • Sedentary: Exerting up to 10 lbs. occasionally, sitting most of the time, and only brief periods of standing and walking. • Requires the ability to travel to member organizations as needed
Note: the duties listed above reflect the majority of the essential duties of this job and does not, nor is it intended to, reflect all essential duties that may be required for an incumbent in this job to perform.
Feb 04, 2019
Other
Job Summary This position will serve all Northern Light Health Member Organizations through detailed analytical review of data to drive process improvement, mitigate risks, impact to reimbursement and recommend solutions. This position will perform root cause analysis with claims, denial, payment and adjustment files leveraging our data for all of EMHS to investigate and identify trends. This position will need to interpret insurance payor policies and contracts to ensure that our findings meet the regulatory guidelines. This position is responsible for handling highly sensitive and confidential information, will regularly exercise discretion and judgment, possess excellent project management and analytical skills, is knowledgeable about business and financial matters applicable to the healthcare industry, will possess verbal and mental acuity consistent with the demands of the job. This position requires excellent time management skills and the ability to reprioritize assignments on an ongoing basis. This position will initiate, follow through and complete projects as assigned. Accurate and timely communication with internal and external customers is required. This is a fast paced position with significant interruptions. A positive and supportive attitude and the ability to refocus on the task at hand in a timely fashion is a must. This position will support management of projects, vendor and payer relationships and work closely with all levels of the Northern Light Health Patient Account Services in the Centralized Business Office. Knowledge of Claims, AR Resolution, Customer Service, Denials, Contracts, Cash Reconciliation, Credits, Adjustments, Insurance payments and other CBO functions are necessary to perform in this role. This position requires a thorough understanding of the requirements of the Government and Non-Government payment processing policies. In addition, this position is held accountable to adhere to the policies, procedures, and applicable laws. Education and Experience • Bachelor's Degree and (1) one year of general revenue cycle experience OR Associates Degree and (2) two years of healthcare specific revenue cycle experience OR High School diploma and (8) years healthcare specific revenue cycle experience. • Degree in business, finance or healthcare administration preferred.
Required Minimum Knowledge, Skills and Abilities • Detailed knowledge of billing and payment rules and regulations in a healthcare setting (Government and/or non-Government payers); multiple hospitals/physician practices preferred. • Knowledge of medical terminology, Current Procedural Terminology (CPT), and International Classification of Disease (ICD) preferred. • Experience with EMHS patient accounting software is preferred. • Must possess strong problem solving skills. • Ensures all AR resolution functions performed are compliant with applicable laws and regulations. • Excellent professional communication skills; both oral and written. • Ability to understand payer processing policies and all applicable billing rules and regulations to facilitate decision making. • Proficient with Microsoft business applications. • Strong customer service skills • Demonstrated ability to work independently and collaboratively.
Essential Functions
People • Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements.
Service • Work closely by way of problem solving with peers and leaders to address issues or changes that directly impact the accounts receivable. • Prioritizes work according to the needs of the Department Directors • Coordinate project management activities (i.e. BLMR/AMR, AR Operations Workgroup, Insurance Payer Meetings) • Coordinate AR Operations Support Meetings: Facilitate meetings, with prepared agendas, system ticket management, provide analytical support, minutes and tracks follow up tasks as assigned to maintain continuity, manage the white space between meetings and progress towards the desired EMHS outcomes. • Coordinates special projects/reports as assigned, manages project from beginning to end, and provides periodic progress updates. • Provide coverage for critical tasks as needed
Quality • Manage CBO projects as assigned: utilizing technology and healthcare business expertise to perform business and systems analysis of EMHS data to identify opportunities, risks and aid us as a system to make decisions on best practices relating to areas such as workflow and system enhancements. Ensure proper testing and validations have occurred and documentation exists for all aspects of the project. Identify project barriers and escalate issues timely to manager or department director. Develop new/updated policies and procedures prior to implementing any new practices. • Create and maintain project documentation, schedules, action plans, data analysis, reports and resources
Finance • Vendor performance: analyze and track vendor performance and report results monthly. Identify areas of risk or opportunity and escalate to manager or department. Make recommendations to improve, maximize, limit, or terminate vendor relationship based on project outcomes. • Payer Management: Provide analytical support for payer meetings. Maintain payer score cards. Develop agenda and facilitate payer meetings which will include payers and Northern Light Health CBO and Non-CBO facilities. Opening tickets as appropriate, maintaining meeting minutes and communication with all involved parties to ensure that deadlines are met. • Denials Analytics and Management: Identify and track denial trends by location. Work with Administrative and Clinical Practice Managers teams to develop corrective actions and monitor performance. • Facilitate the process of compiling and distributing monthly accounts receivable highlight packages to finance leadership teams. • Preparing monthly AR reports for the Management Team • Developing and maintaining the AR KPI Tool to measure success (i.e. AR SnapShot) • Thorough understanding the department's Key Performance Indicators.
Growth • Maintain the knowledge of Accounts Receivables in compliance with policies, regulations, procedures and standards. • Participate in monthly Payer Meetings • Attend internal education sessions to enhance or gain new skills. • Certified Revenue Cycle Professional certificate within two years of employment.
Community • Demonstrate departmental desire to provide community benefits by way of charitable events or contribution outside the four walls of the department.
Organizational Values Passion: We demonstrate a passion for caring for others and the pursuit of service excellence in all that we do. Integrity: We commit to the highest standards of behavior and doing the correct thing for the right reasons. Partnership: Working together in collaboration and teamwork is more powerful than working alone. Accountability: We take a responsible and disciplined approach to achieving our priorities and responding to an ever changing environment. Innovation: We are capable of extraordinary creativity and are willing to explore new ideas to achieve our healthcare mission. Respect: We respect the dignity, worth and rights of others.
Physical Demands • Sedentary: Exerting up to 10 lbs. occasionally, sitting most of the time, and only brief periods of standing and walking. • Requires the ability to travel to member organizations as needed
Note: the duties listed above reflect the majority of the essential duties of this job and does not, nor is it intended to, reflect all essential duties that may be required for an incumbent in this job to perform.
Eskenazi Health
720 Eskenazi Ave Indianapolis Indiana 46202 United States
JOB SUMMARY:
The CDM Specialist r eads, interprets, researches, and distributes payer coding and reimbursement information to all applicable departments to ensure regulatory and clinical compliance. This position acts as the primary owner of the CDM and all CDM tools, and reports to the Manager, Revenue Cycle Optimization.
ESSENTIAL JOB FUNCTIONS:
Reads, interprets, researches, and distributes payer coding and reimbursement information to all applicable departments to ensure regulatory and clinical compliance. Utilizes available research resources, such as CDM vendor tools and various internet sites to ensure billing compliance with regulatory mandates and alignment with market-based Charge Description Master (CDM) pricing strategies.
Acts as primary owner of the CDM, which includes, but is not limited to:
Adding, deleting, and inactivating charge codes while ensuring adherence to regulatory compliance; quarterly, annually, and as needed
Adding, deleting, and inactivating charge codes according to CMS and other payer regulatory directives while adhering to dictated timelines; quarterly, annually, and as needed
Notifying departments of mandated updates
Working closely with various clinical departments to review, update, and maintain their department specific portions of the CDM, while providing CDM refinement suggestions when appropriate
Working closely with Revenue Integrity Auditors and Charge Capture Analysts to add, modify, and/or delete charges as identified during internal clinic/department audit and charge reconciliation cycles
Researching and validating pricing strategy through the use of various vendor tools and CMS related websites
Completing Quality Assurance audits for the CDM for pricing, Revenue Code to CPT/HCPCS code, supply codes, modifiers, correct build in the Patient Accounting System, and other necessary audits determined by Revenue Cycle Director/Manager
Acts as primary owner of all CDM tools, which includes, but is not limited to:
Uploading the CDM to any needed vendor tools or sites on a monthly basis
Maintaining the CDM workflow tool by adding new clinics, adding/modifying notification groups, and ensuring email notification functions work appropriately
Working any change request entries on a daily basis to resolve addition, modification, and deactivation requests
Resolving CDM tool issues such as, but not limited to, revenue code/modifier mismatches, missing CPT/HCPCS, and invalid, replaced, and/or deactivated codes, adding and deleting system users
Providing CDM tool related training on an as-needed basis
Sending all new, modified, inactivated and/or reactivated third party indicators to patient accounting system for build and end-user usage
Adding charges associated with purchased services to appropriate inpatient accounts
JOB REQUIREMENTS:
Medical Technician, LPN, RN, with current state licensure OR certified R.H.I.A., R.H.I.T., CCS, CCS-P, CPC, CPC-H, or CCA preferred. Associates degree required OR seven (7) years of direct patient accounting experience may be accepted in lieu of educational requirement.
Experience with Health Information Management (HIM), Facility/Physician Billing, Charge Description Master (CDM), Denials Management, Charge Integrity, Financial Analysis
Requires eight years of patient financial services experience, with preference given to working knowledge in Charge Description Master coupled with at least three years of health care and health care related project management experience
Feb 03, 2019
Full-time
JOB SUMMARY:
The CDM Specialist r eads, interprets, researches, and distributes payer coding and reimbursement information to all applicable departments to ensure regulatory and clinical compliance. This position acts as the primary owner of the CDM and all CDM tools, and reports to the Manager, Revenue Cycle Optimization.
ESSENTIAL JOB FUNCTIONS:
Reads, interprets, researches, and distributes payer coding and reimbursement information to all applicable departments to ensure regulatory and clinical compliance. Utilizes available research resources, such as CDM vendor tools and various internet sites to ensure billing compliance with regulatory mandates and alignment with market-based Charge Description Master (CDM) pricing strategies.
Acts as primary owner of the CDM, which includes, but is not limited to:
Adding, deleting, and inactivating charge codes while ensuring adherence to regulatory compliance; quarterly, annually, and as needed
Adding, deleting, and inactivating charge codes according to CMS and other payer regulatory directives while adhering to dictated timelines; quarterly, annually, and as needed
Notifying departments of mandated updates
Working closely with various clinical departments to review, update, and maintain their department specific portions of the CDM, while providing CDM refinement suggestions when appropriate
Working closely with Revenue Integrity Auditors and Charge Capture Analysts to add, modify, and/or delete charges as identified during internal clinic/department audit and charge reconciliation cycles
Researching and validating pricing strategy through the use of various vendor tools and CMS related websites
Completing Quality Assurance audits for the CDM for pricing, Revenue Code to CPT/HCPCS code, supply codes, modifiers, correct build in the Patient Accounting System, and other necessary audits determined by Revenue Cycle Director/Manager
Acts as primary owner of all CDM tools, which includes, but is not limited to:
Uploading the CDM to any needed vendor tools or sites on a monthly basis
Maintaining the CDM workflow tool by adding new clinics, adding/modifying notification groups, and ensuring email notification functions work appropriately
Working any change request entries on a daily basis to resolve addition, modification, and deactivation requests
Resolving CDM tool issues such as, but not limited to, revenue code/modifier mismatches, missing CPT/HCPCS, and invalid, replaced, and/or deactivated codes, adding and deleting system users
Providing CDM tool related training on an as-needed basis
Sending all new, modified, inactivated and/or reactivated third party indicators to patient accounting system for build and end-user usage
Adding charges associated with purchased services to appropriate inpatient accounts
JOB REQUIREMENTS:
Medical Technician, LPN, RN, with current state licensure OR certified R.H.I.A., R.H.I.T., CCS, CCS-P, CPC, CPC-H, or CCA preferred. Associates degree required OR seven (7) years of direct patient accounting experience may be accepted in lieu of educational requirement.
Experience with Health Information Management (HIM), Facility/Physician Billing, Charge Description Master (CDM), Denials Management, Charge Integrity, Financial Analysis
Requires eight years of patient financial services experience, with preference given to working knowledge in Charge Description Master coupled with at least three years of health care and health care related project management experience
Danbury Hospital
Danbury Hospital Danbury Connecticut US
Required - Level 1: High School Diploma and minimum of six months job-related experience. Data entry. Customer service experience required. Maintains accurate and timely claim submission for designated groups of accounts by payer. Insures that all claims are compliant with State and Federal billing regulations and contractual obligations. Collects cash from third party payers and patients. Expedites inquiries by mail or phone as related to the designated group of accounts. Insures accurate and timely application of cash received. Processes statements to insure an effective billing system. Preferred: Experience in billing and collections or Medical Office/Healthcare experience.
Required - Level 2: High School Diploma and minimum of one year job-related experience. Data entry and MS Excel. Customer service experience required. Coordinates and monitors all aspects of Patient Financial Services daily functions, including billing compliance and accounts receivable functions. Responsible for the assigned areas' claims submission, payment application, denial management, and account follow-up to ensure optimal reimbursement. Preferred: Medical terminology, billing, cash applications and collection experience.
Required - Level 3: Associate Degree and minimum of three years job-related experience. Position requires knowledge of all aspects of responsibilities of the CBO; Basic knowledge of applicable federal, state laws and regulations; well-developed verbal and written communication skills; Excellent analytical and problem solving skills; Strong working knowledge of payor rules and regulations; Knowledge of hospital billing; Demonstrated ability to manage multiple and complex tasks; Demonstrated ability to train and motivate employees; Professional attitude and ability to relate to executive management and patients; Exhibits self-direction, good judgment in handling difficult situations and good organization, time management, interpersonal and conflict resolution skills. Facilitates the revenue cycle from claim submission through claim adjudication. Insures all claims are compliant with State and Federal billing regulations and contractual obligations. Leads and promotes relationships and meetings with third party payers to expedite cash flow. Includes all of the responsibilities of level 2 and provides training and guidance to level 1 and 2 staffs. Authorized to act on behalf of management in their absence.
Hours: 40 control hours.
Jan 31, 2019
Other
Required - Level 1: High School Diploma and minimum of six months job-related experience. Data entry. Customer service experience required. Maintains accurate and timely claim submission for designated groups of accounts by payer. Insures that all claims are compliant with State and Federal billing regulations and contractual obligations. Collects cash from third party payers and patients. Expedites inquiries by mail or phone as related to the designated group of accounts. Insures accurate and timely application of cash received. Processes statements to insure an effective billing system. Preferred: Experience in billing and collections or Medical Office/Healthcare experience.
Required - Level 2: High School Diploma and minimum of one year job-related experience. Data entry and MS Excel. Customer service experience required. Coordinates and monitors all aspects of Patient Financial Services daily functions, including billing compliance and accounts receivable functions. Responsible for the assigned areas' claims submission, payment application, denial management, and account follow-up to ensure optimal reimbursement. Preferred: Medical terminology, billing, cash applications and collection experience.
Required - Level 3: Associate Degree and minimum of three years job-related experience. Position requires knowledge of all aspects of responsibilities of the CBO; Basic knowledge of applicable federal, state laws and regulations; well-developed verbal and written communication skills; Excellent analytical and problem solving skills; Strong working knowledge of payor rules and regulations; Knowledge of hospital billing; Demonstrated ability to manage multiple and complex tasks; Demonstrated ability to train and motivate employees; Professional attitude and ability to relate to executive management and patients; Exhibits self-direction, good judgment in handling difficult situations and good organization, time management, interpersonal and conflict resolution skills. Facilitates the revenue cycle from claim submission through claim adjudication. Insures all claims are compliant with State and Federal billing regulations and contractual obligations. Leads and promotes relationships and meetings with third party payers to expedite cash flow. Includes all of the responsibilities of level 2 and provides training and guidance to level 1 and 2 staffs. Authorized to act on behalf of management in their absence.
Hours: 40 control hours.
Alameda Health System
1100 San Leandro Blvd San Leandro California 94577 United States
SUMMARY: Implements, supports and maintains Epic clinical and/or financial applications.
DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE:The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
1. Act in an appropriate and professional manner as defined by the company’s Standards of Behavior, Policy and Procedures, and Scope of Services.
2. Role model AHS Standards of Behavior.
3. Provide subject matter expertise to team as needed. Assists management during employee orientation
4. Advise leadership in the development of strategies for EHR implementation and improvements of AHS workflow processes
5. Leads workflow design discussions, building and testing the system and analyzing associated issues.
6. Identifies issues that arise in assigned application area as well as issues that impact other application teams
7. Guides end users in ongoing training during all phases of implementation
8. Reviews the status of deliverables, issues and milestones with leadership.
9. Serves as a liaison between end users’ workflow needs and Epic implementation staff.
10. Performs other duties as required.
11. Function effectively and independently with minimal direction.
12. Manipulate complex, confidential data - with minimal direction.
13. Recommends strategy, plans, and alternatives to the senior leader proactively.
14. Proactively advise senior leaders of obstacles and impediments to maintaining schedules and milestones.
Qualifications:
Required Education: Bachelor’s degree in a relevant field from an accredited college or university.
Preferred Education: Master’s Degree in Information Technology
Required Experience: Six years Information Technology experience within a multi-entity, healthcare environment.
Preferred Experience: Prior Epic implementation experience; experience with clinical applications in either inpatient or outpatient setting; experience with revenue cycle applications or patient access services.
Required Licenses/Certifications: Current Epic certification or attainment of Epic certification within six months of employment.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Qualifications:
Required Education: Bachelor’s degree in a relevant field from an accredited college or university.
Preferred Education: Master’s Degree in Information Technology
Required Experience: Six years Information Technology experience within a multi-entity, healthcare environment.
Preferred Experience: Prior Epic implementation experience; experience with clinical applications in either inpatient or outpatient setting; experience with revenue cycle applications or patient access services.
Required Licenses/Certifications: Current Epic certification or attainment of Epic certification within six months of employment.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Qualifications:
Required Education: Bachelor’s degree in a relevant field from an accredited college or university.
Preferred Education: Master’s Degree in Information Technology
Required Experience: Six years Information Technology experience within a multi-entity, healthcare environment.
Preferred Experience: Prior Epic implementation experience; experience with clinical applications in either inpatient or outpatient setting; experience with revenue cycle applications or patient access services.
Required Licenses/Certifications: Current Epic certification or attainment of Epic certification within six months of employment.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Jan 30, 2019
Full-time
SUMMARY: Implements, supports and maintains Epic clinical and/or financial applications.
DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE:The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
1. Act in an appropriate and professional manner as defined by the company’s Standards of Behavior, Policy and Procedures, and Scope of Services.
2. Role model AHS Standards of Behavior.
3. Provide subject matter expertise to team as needed. Assists management during employee orientation
4. Advise leadership in the development of strategies for EHR implementation and improvements of AHS workflow processes
5. Leads workflow design discussions, building and testing the system and analyzing associated issues.
6. Identifies issues that arise in assigned application area as well as issues that impact other application teams
7. Guides end users in ongoing training during all phases of implementation
8. Reviews the status of deliverables, issues and milestones with leadership.
9. Serves as a liaison between end users’ workflow needs and Epic implementation staff.
10. Performs other duties as required.
11. Function effectively and independently with minimal direction.
12. Manipulate complex, confidential data - with minimal direction.
13. Recommends strategy, plans, and alternatives to the senior leader proactively.
14. Proactively advise senior leaders of obstacles and impediments to maintaining schedules and milestones.
Qualifications:
Required Education: Bachelor’s degree in a relevant field from an accredited college or university.
Preferred Education: Master’s Degree in Information Technology
Required Experience: Six years Information Technology experience within a multi-entity, healthcare environment.
Preferred Experience: Prior Epic implementation experience; experience with clinical applications in either inpatient or outpatient setting; experience with revenue cycle applications or patient access services.
Required Licenses/Certifications: Current Epic certification or attainment of Epic certification within six months of employment.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Qualifications:
Required Education: Bachelor’s degree in a relevant field from an accredited college or university.
Preferred Education: Master’s Degree in Information Technology
Required Experience: Six years Information Technology experience within a multi-entity, healthcare environment.
Preferred Experience: Prior Epic implementation experience; experience with clinical applications in either inpatient or outpatient setting; experience with revenue cycle applications or patient access services.
Required Licenses/Certifications: Current Epic certification or attainment of Epic certification within six months of employment.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Qualifications:
Required Education: Bachelor’s degree in a relevant field from an accredited college or university.
Preferred Education: Master’s Degree in Information Technology
Required Experience: Six years Information Technology experience within a multi-entity, healthcare environment.
Preferred Experience: Prior Epic implementation experience; experience with clinical applications in either inpatient or outpatient setting; experience with revenue cycle applications or patient access services.
Required Licenses/Certifications: Current Epic certification or attainment of Epic certification within six months of employment.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Baxter Regional Medical Center
624 Hospital Drive Mountain Home Arkansas 72653 United States
Required Qualifications: High school diploma or GED, minimum of 1 year hospital revenue cycle experience, and basic technical and computer application knowledge.
Preferred Qualifications: Associate's degree in Computer Science or related field. 3 years progressive experience in Patient Financial Services. Advanced technical and computer application knowledge including troubleshooting of PC and mainframe systems.
Job Summary: Maintain, provide and coordinate support for the Patient Financial Services department, including all software applications and hardware. Maintain Contract Management system to ensure accurate payments from carriers. Assist Information Systems in any hardware or software installations. Provide training and continuing education for all Patient Financial Services staff. Assist and provide troubleshooting.
Jan 29, 2019
Full-time
Required Qualifications: High school diploma or GED, minimum of 1 year hospital revenue cycle experience, and basic technical and computer application knowledge.
Preferred Qualifications: Associate's degree in Computer Science or related field. 3 years progressive experience in Patient Financial Services. Advanced technical and computer application knowledge including troubleshooting of PC and mainframe systems.
Job Summary: Maintain, provide and coordinate support for the Patient Financial Services department, including all software applications and hardware. Maintain Contract Management system to ensure accurate payments from carriers. Assist Information Systems in any hardware or software installations. Provide training and continuing education for all Patient Financial Services staff. Assist and provide troubleshooting.
Indiana University Health - Merged site
Revenue Cycle - Shadeland Indianapolis Indiana 46219-4959 US
This position supports Revenue Cycle Services by providing timely, accurate and reliable financial information necessary for optimal management of department operations. Position may also support execution of internal and external financial transactions (invoice processing, vendor contracts, etc.) The incumbent will serve as a resource to all levels of management in reporting, understanding and analyzing department financial performance data. This role provides data analysis support, report generation, and data validation. This position will assist in documenting processes and developing training and conducting education programs relative to financial performance and business intelligence.
QUALIFICATIONS/KNOWLEDGE/SKILLS/ABILITIES
Bachelor?s degree preferred.
Requires proficiency in MS Excel and Access.
Experience in a healthcare, accounting or corporate finance setting strongly preferred.
Requires ability to work with all levels of healthcare management and staff.
Requires basic knowledge of finance and statistics (ROI; NPV; risk; etc.).
Requires excellent written and verbal communication skills.
Requires exceptional interpersonal; problem-solving; and analytic skills.
Requires the ability to work independently.
Requires the ability to take initiative and meet objectives.
Requires the ability to promote teamwork and build effective relationships.
Requires the ability to prioritize, track and perform multiple tasks simultaneously.
Requires the ability to perform in a fast paced environment.
Jan 28, 2019
Other
This position supports Revenue Cycle Services by providing timely, accurate and reliable financial information necessary for optimal management of department operations. Position may also support execution of internal and external financial transactions (invoice processing, vendor contracts, etc.) The incumbent will serve as a resource to all levels of management in reporting, understanding and analyzing department financial performance data. This role provides data analysis support, report generation, and data validation. This position will assist in documenting processes and developing training and conducting education programs relative to financial performance and business intelligence.
QUALIFICATIONS/KNOWLEDGE/SKILLS/ABILITIES
Bachelor?s degree preferred.
Requires proficiency in MS Excel and Access.
Experience in a healthcare, accounting or corporate finance setting strongly preferred.
Requires ability to work with all levels of healthcare management and staff.
Requires basic knowledge of finance and statistics (ROI; NPV; risk; etc.).
Requires excellent written and verbal communication skills.
Requires exceptional interpersonal; problem-solving; and analytic skills.
Requires the ability to work independently.
Requires the ability to take initiative and meet objectives.
Requires the ability to promote teamwork and build effective relationships.
Requires the ability to prioritize, track and perform multiple tasks simultaneously.
Requires the ability to perform in a fast paced environment.
Parkview Health
11109 Parkview Plaza Drive Fort Wayne Indiana 46845 United States
Summary: Performs clerical, customer service and issue resolution duties within the UM/Reimbursement area. Main focus is to obtain insurance authorizations and complete data entry functions to assist improvement of revenue cycle.
Education: Must be a high school graduate or the equivalent with GED. Experience: Must have one year experience in a medical office hospital or health care setting. Demonstrates understanding of managed care concepts. Must have good verbal and written communication skills. Must have excellent people skills and the ability to problem solve efficiently and effectively. Must have good organizational skills and flexibility with dealing and multiple tasks at the same time.
Jan 28, 2019
Full-time
Summary: Performs clerical, customer service and issue resolution duties within the UM/Reimbursement area. Main focus is to obtain insurance authorizations and complete data entry functions to assist improvement of revenue cycle.
Education: Must be a high school graduate or the equivalent with GED. Experience: Must have one year experience in a medical office hospital or health care setting. Demonstrates understanding of managed care concepts. Must have good verbal and written communication skills. Must have excellent people skills and the ability to problem solve efficiently and effectively. Must have good organizational skills and flexibility with dealing and multiple tasks at the same time.
Aspirus was recently recognized as one of the top 15 Top Health Systems in the United States by IBM Watson in their annual study identifying the top-performing health systems in the country based on overall organizational performance.
We are seeking an Application Analyst who will be responsible for work production support tickets, build for implementations, and problem-solve complex issues related to medical billing and claims configuration. This individual will have a high-level understanding of how charges flow for billing and claims, in a medical system. This position will be part of a collaborative, supportive, and high performing team while also working independently to maintain and support our revenue cycle software.
Qualifications:
Knowledge of general principles of information systems and computer usage normally acquired through completion of a Bachelor of Science in Business, Information Technology, clinical area, or related field and/or two to five years' relevant healthcare/IT experience required.
A background in medical billing, claims, or other related areas of the revenue cycle is highly recommended.
Epic build or other technical system configuration experience preferred. IT experience is a plus.
Experience with clinical assessment, planning, protocol development, standards, policies and procedures preferred.
Previous teaching/training and project management experience. Participated in at least one clinical information systems implementation/go-live.
Very strong working knowledge of hospital clinical and administrative departments, operations and core process flows. Understands interactions and flows with administrative and financial systems.
Strong understanding of the Systems Development Life cycle (SDLC): project definition, user requirements definition, system requirements definition, analysis and design, system build, implementation and training, sustainment.
Excellent verbal and written communication skills, quick thinking and problem solving skills.
The Aspirus healthcare system and service area extends from beautiful central and northern Wisconsin into the majestic lake shore regions of the Upper Peninsula of Michigan. We have 8 hospitals and over 55 primary care/specialty clinics.
Wausau, Wisconsin is located in the lovely Wisconsin River valley at the center of the state. We have a metro area population of 85,000 with excellent schools, busy performing arts cetner, large private music conservatory, and visual arts center. Quiet residential neighborhoods surround Lake Wausau and overlook the Wisconsin River or have views of Rib Mountain State Part. We enjoy four seasons of recreation including all water sports, sailing, kayaking, mountain biking, hiking, soccer, down-hill and cross-country skiing.
Jan 27, 2019
Other
Aspirus was recently recognized as one of the top 15 Top Health Systems in the United States by IBM Watson in their annual study identifying the top-performing health systems in the country based on overall organizational performance.
We are seeking an Application Analyst who will be responsible for work production support tickets, build for implementations, and problem-solve complex issues related to medical billing and claims configuration. This individual will have a high-level understanding of how charges flow for billing and claims, in a medical system. This position will be part of a collaborative, supportive, and high performing team while also working independently to maintain and support our revenue cycle software.
Qualifications:
Knowledge of general principles of information systems and computer usage normally acquired through completion of a Bachelor of Science in Business, Information Technology, clinical area, or related field and/or two to five years' relevant healthcare/IT experience required.
A background in medical billing, claims, or other related areas of the revenue cycle is highly recommended.
Epic build or other technical system configuration experience preferred. IT experience is a plus.
Experience with clinical assessment, planning, protocol development, standards, policies and procedures preferred.
Previous teaching/training and project management experience. Participated in at least one clinical information systems implementation/go-live.
Very strong working knowledge of hospital clinical and administrative departments, operations and core process flows. Understands interactions and flows with administrative and financial systems.
Strong understanding of the Systems Development Life cycle (SDLC): project definition, user requirements definition, system requirements definition, analysis and design, system build, implementation and training, sustainment.
Excellent verbal and written communication skills, quick thinking and problem solving skills.
The Aspirus healthcare system and service area extends from beautiful central and northern Wisconsin into the majestic lake shore regions of the Upper Peninsula of Michigan. We have 8 hospitals and over 55 primary care/specialty clinics.
Wausau, Wisconsin is located in the lovely Wisconsin River valley at the center of the state. We have a metro area population of 85,000 with excellent schools, busy performing arts cetner, large private music conservatory, and visual arts center. Quiet residential neighborhoods surround Lake Wausau and overlook the Wisconsin River or have views of Rib Mountain State Part. We enjoy four seasons of recreation including all water sports, sailing, kayaking, mountain biking, hiking, soccer, down-hill and cross-country skiing.
Lehigh Valley Health Network
1200 South Cedar Crest Blvd Allentown Pennsylvania 18103 United States
Job Summary: The Revenue Cycle and Systems Education Analyst leads technical, computer-based projects of all levels of complexity and applies understanding of the ADDIE model (analysis, design, development, implementation, and evaluation) and adult learning theory. Liaison between education team and supported departments. Collects and analyzes data from business units regarding potential new processes, procedures, systems, etc., to determine performance gaps and recommend training solutions. Designs and develops training using a variety of modalities depending on the needs, including e-learning activities, webinars, instructor led trainings, webpage development, etc. Leads curriculum management and audits of existing content at all Network locations on an ongoing basis to ensure courses are current, effective, and meet business needs. Strong communication, project management, and operational knowledge are required to maximize return on investment, Network impact and partnerships with various internal and external subject matter experts. Ensures integrity of task analysis, training requirements, training hierarchies, instructional materials, and evaluation plans. Converts complex level written materials and/or training requirements to courseware. Develops flow diagrams and story boards as needed. Develops print and audio/visual media based supporting content and tools. Devises or modifies curriculum delivery to solve complex computer navigation problems utilizing knowledge of their areas of specialization. Leads the development of new curriculum for EPIC based process training. Recommends the implementation of existing and emerging methods of training delivery to replace or enhance existing training methods. Ensure curriculum adheres to compliant billing standards.
Minimum Requirements: Bachelor’s degree in Instructional Design Technology, electronic media, computer sciences, Health Care, Communications or other related field or an additional 3 years experience.
5-7 years experience in eLearning design, teaching or working in patient financial services, registration, training or healthcare industry insurance or related experience with appropriate analytical/ technological background. Strong foundation in the use of the Epic EMR software or healthcare operational registration and billing workflows. Flexible self-starter, innovative and creative, excellent verbal and written communication skills. Must remain current with the technologies identified for use in adult education. Flexible with technology and the ability to learn new software systems quickly.
Knowledge of current instructional theories and principles applicable to web-based instruction. High level of expertise with software that facilitates the design of instruction (storyboards, flow charts, design templates, assessments, etc.). Familiarity with graphic design elements appropriate for written and online instruction. Advanced troubleshooting required. Completion of Revenue Cycle Education certification process (provided by department upon hire) and demonstration of EPIC and operational process proficiency within 10 months of hire. Demonstrates advanced understanding, proficiency, and execution of eLearning system. Advanced skills in Microsoft Office suite of product including word, excel, and power point. Technically savvy and willingness to learn new technology. Completion of TLC Administrator Certification within 3 months hire (provided upon hire). Completion of Revenue Cycle Education Webpage Administrator within 5 months of hire (provided upon hire).
Preferred Qualifications:
Licensure and Certifications: NA
Jan 25, 2019
full time 40 hours
Job Summary: The Revenue Cycle and Systems Education Analyst leads technical, computer-based projects of all levels of complexity and applies understanding of the ADDIE model (analysis, design, development, implementation, and evaluation) and adult learning theory. Liaison between education team and supported departments. Collects and analyzes data from business units regarding potential new processes, procedures, systems, etc., to determine performance gaps and recommend training solutions. Designs and develops training using a variety of modalities depending on the needs, including e-learning activities, webinars, instructor led trainings, webpage development, etc. Leads curriculum management and audits of existing content at all Network locations on an ongoing basis to ensure courses are current, effective, and meet business needs. Strong communication, project management, and operational knowledge are required to maximize return on investment, Network impact and partnerships with various internal and external subject matter experts. Ensures integrity of task analysis, training requirements, training hierarchies, instructional materials, and evaluation plans. Converts complex level written materials and/or training requirements to courseware. Develops flow diagrams and story boards as needed. Develops print and audio/visual media based supporting content and tools. Devises or modifies curriculum delivery to solve complex computer navigation problems utilizing knowledge of their areas of specialization. Leads the development of new curriculum for EPIC based process training. Recommends the implementation of existing and emerging methods of training delivery to replace or enhance existing training methods. Ensure curriculum adheres to compliant billing standards.
Minimum Requirements: Bachelor’s degree in Instructional Design Technology, electronic media, computer sciences, Health Care, Communications or other related field or an additional 3 years experience.
5-7 years experience in eLearning design, teaching or working in patient financial services, registration, training or healthcare industry insurance or related experience with appropriate analytical/ technological background. Strong foundation in the use of the Epic EMR software or healthcare operational registration and billing workflows. Flexible self-starter, innovative and creative, excellent verbal and written communication skills. Must remain current with the technologies identified for use in adult education. Flexible with technology and the ability to learn new software systems quickly.
Knowledge of current instructional theories and principles applicable to web-based instruction. High level of expertise with software that facilitates the design of instruction (storyboards, flow charts, design templates, assessments, etc.). Familiarity with graphic design elements appropriate for written and online instruction. Advanced troubleshooting required. Completion of Revenue Cycle Education certification process (provided by department upon hire) and demonstration of EPIC and operational process proficiency within 10 months of hire. Demonstrates advanced understanding, proficiency, and execution of eLearning system. Advanced skills in Microsoft Office suite of product including word, excel, and power point. Technically savvy and willingness to learn new technology. Completion of TLC Administrator Certification within 3 months hire (provided upon hire). Completion of Revenue Cycle Education Webpage Administrator within 5 months of hire (provided upon hire).
Preferred Qualifications:
Licensure and Certifications: NA