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Overview    The Systems Analyst, Entry Level is a full time position on the Epic Implementation Team. The position has responsibility for the implementation and support of the Electronic Medical Record (EMR). The Systems Analyst, Entry Level performs work related to Epic applications for revenue cycle, patient throughput, and billing such as Cadence, Prelude, HIM, Home Health Billing, Resolute Hospital Billing, and Resolute Professional Billing. The work is accomplished in a team environment and requires excellent problem solving and communication skills with a high level of professionalism.  Responsibilities:   The responsibilities of an Epic Systems Analyst, Entry Level include:  Analyzing workflows, system details, business requirements, and technical issues associated with one or more Epic application(s)  Configuring of Epic application(s) including workflows, reports, and/or users  Installation and maintenance of system infrastructure to support the EMR  Executing of activities to implement, enhance, and maintain the EMR system  Analyzing new functionality and recommend how it should be used to prioritize and implement requested changes to the system  Troubleshooting problems and questions from end users. Provides support of daily and ad-hoc requests  Interfacing with key IT, clinical, business and operations staff to assist in the development of efficient workflows  Participating in testing system enhancements and performs rigorous testing to deliver high-quality end-user solutions  Architecting and delivering solution innovation to improve services or to lower costs, operating under deadlines and challenging workload  Solving problems and develops solutions to tasks or projects which may be unique, using judgment and initiative  Qualifications:   Education:  High school diploma.    Requirements:  Excellent customer service skills including the ability to communicate effectively verbally and in writing  Demonstrated ability to reach a goal including the ability to develop an action plan and adhere to deadlines  Demonstrated ability to gather information from multiple sources, analyze applicability and appropriateness, and develop an efficient workflow  Excellent interpersonal, communication, leadership, and change management skills to establish and maintain positive and productive working relationships  Preferred  Associate’s or Bachelor's degree in Healthcare Administration, Public Health, Mathematics, Healthcare Informatics or Computer Science   Demonstrated ability to analyze large data sets, use data to draw conclusions, assess performance metrics and/or write reports including the use of data visualization and manipulation tools such as Excel, SQL, Tableau, etc.   Work experience within information technology or an applicable area of healthcare Revenue Cycle services  Experience with EMR support, training, build, or configuration  Certifications in one or more Epic applications   

Overview    The Systems Analyst, Senior Level is a full time position on the Epic Implementation Team. The position has responsibility for the implementation and support of the Electronic Medical Record (EMR). The Systems Analyst, Senior Level serves as a Team Lead for analysts supporting to Epic applications for revenue cycle, patient throughput, and billing such as Cadence, Prelude, HIM, Home Health Billing, Resolute Hospital Billing, and Resolute Professional Billing. The work is accomplished in a team environment and requires excellent problem solving and communication skills with a high level of professionalism.  Responsibilities:   The responsibilities of an Epic Systems Analyst, Senior Level include:  Mentoring and guiding teams of analysts to successful completion of tasks.   Analyzing highly complex workflows, system details, business requirements, and technical issues associated with one or more Epic application(s)  Configuring of Epic application(s) including workflows, reports, and/or users  Installation and maintenance of system infrastructure to support the EMR  Organizing and executing highly integrated, time sensitive activities to implement, enhance, and maintain the EMR system  Analyzing new functionality and recommend how it should be used to prioritize and implement requested changes to the system  Troubleshooting complex problems and questions from end users. Provides support of daily and ad-hoc requests  Interfacing with key IT, clinical, business and operations staff to assist in the development of efficient workflows  Organizing and participating in testing system enhancements and performs rigorous testing to deliver high-quality end-user solutions  Architecting and delivering solution innovation to improve services or to lower costs, operating under deadlines and challenging workload  Solving difficult problems and develops solutions to tasks or projects which may be unique, using judgment and initiative  Qualifications:   Education:  Associate’s or Bachelor's degree in Healthcare Administration, Public Health, Mathematics, Healthcare Informatics or Computer Science OR high school diploma and equivalent experience within information technology or an applicable area of healthcare revenue cycle operations   Requirements:  3+ years of experience in information technology or 5+ years of experience in applicable area of healthcare revenue cycle operations  Excellent customer service skills including the ability to communicate effectively verbally and in writing  Experience with EMR support, training, build, or configuration  Demonstrated ability to reach a goal including the ability to develop an action plan and adhere to deadlines  Demonstrated ability to gather information from multiple sources, analyze applicability and appropriateness, and develop an efficient workflow  Excellent interpersonal, communication, leadership, and change management skills to establish and maintain positive and productive working relationships  Preferred  Certifications in one or more Epic applications or technical functions  Experience with Epic implementations  Demonstrated ability to analyze large data sets, use data to draw conclusions, assess performance metrics and/or write reports including the use of data visualization and manipulation tools such as Excel, SQL, Tableau, etc.  

Overview    The Systems Analyst, Mid Level is a full time position on the Epic Implementation Team. The position has responsibility for the implementation and support of the Electronic Medical Record (EMR). The Systems Analyst, Mid Level performs work related to Epic applications for revenue cycle, patient throughput, and billing such as Cadence, Prelude, HIM, Home Health Billing, Resolute Hospital Billing, and Resolute Professional Billing. The work is accomplished in a team environment and requires excellent problem solving and communication skills with a high level of professionalism.  Responsibilities:   The responsibilities of an Epic Systems Analyst, Mid Level include:  Analyzing complex workflows, system details, business requirements, and technical issues associated with one or more Epic application(s)  Configuring of Epic application(s) including workflows, reports, and/or users  Installation and maintenance of system infrastructure to support the EMR  Executing integrated, time sensitive activities to implement, enhance, and maintain the EMR system  Analyzing new functionality and recommend how it should be used to prioritize and implement requested changes to the system  Troubleshooting complex problems and questions from end users. Provides support of daily and ad-hoc requests  Interfacing with key IT, clinical, business and operations staff to assist in the development of efficient workflows  Organizing and participating in testing system enhancements and performs rigorous testing to deliver high-quality end-user solutions  Architecting and delivering solution innovation to improve services or to lower costs, operating under deadlines and challenging workload  Solving difficult problems and develops solutions to tasks or projects which may be unique, using judgment and initiative  Qualifications:   Education:  Associate’s Bachelor's degree in Healthcare Administration, Public Health, Mathematics, Healthcare Informatics or Computer Science or a high school diploma and equivalent experience within information technology or an applicable area of healthcare Revenue Cycle operations     Requirements:  1+ years of experience in information technology or 3+ years of experience in applicable area of healthcare Revenue Cycle operations  Excellent customer service skills including the ability to communicate effectively verbally and in writing  Demonstrated ability to reach a goal including the ability to develop an action plan and adhere to deadlines  Demonstrated ability to gather information from multiple sources, analyze applicability and appropriateness, and develop an efficient workflow  Excellent interpersonal, communication, leadership, and change management skills to establish and maintain positive and productive working relationships  Preferred  Demonstrated ability to analyze large data sets, use data to draw conclusions, assess performance metrics and/or write reports including the use of data visualization and manipulation tools such as Excel, SQL, Tableau, etc.   Experience with EMR support, training, build, or configuration  Certifications in one or more Epic applications 

DISTINGUISHING FEATURES OF THE CLASS: The work involves performing and coordinating the financial and operational functions reimbursement activities in the Finance Department of Erie County Medical Center Corporation. The incumbent provides financial analysis and support related to reimbursement in areas such as general accounting, revenue analysis, budgeting and required reporting. This class differs from that of Reimbursement Analyst by virtue of increased work responsibilities, complex nature of the work performed and supervisory function. Work is performed under the general supervision of the Vice President of Finance-ECMCC or his/her designee. Supervision is exercised over lower-level professional, paraprofessional and clerical staff. Does related work as required.  TYPICAL WORK ACTIVITIES: Supervises, assigns work and evaluates the performance of lower-level staff; Assists in the preparation of required Institutional Cost Reports, physician time studies and medical education surveys for submission to entities such as Medicare, Medicaid, New York State Department of Health and New York State Office of Mental Health; Analyzes reimbursement data specific to data collection, payment posting (insurance reimbursement and cash/patient payment); Utilizes such data analysis to develop summary data reports; reviews summary reports with departmental management; Reviews and continually monitors reimbursement workflows, processes and related documentation; develops recommendations for corrective actions to enhance effectiveness in reimbursement activities; Assists in the development and implementation of policies and procedures related to accounting and reimbursement; Prepares and distributes cash assessment and New York State Health Care Reform Act (HCRA) surcharge reports; Assists in the preparation and analysis of monthly third-party reserves and allowances; Prepares or assists in the preparation of required appeals with third-party payers; Assists in the monitoring and analysis of ECMCC revenue and third-party revenue accounts in accordance with negotiated terms; Prepares journal entries and reconciliations for various general ledger accounts; Analyzes potential sources of revenue and calculates projections for the annual budget; monitors budget allocations against budget variances; Acts as a liaison with independent auditors and other departments in regards to accounting and reimbursement information; Assists in training related to financial accounting and reimbursement principles and procedures; Stays current on regulatory matters and industry trends/best practices related to hospital/healthcare reimbursement and revenue cycle; Collaborates with departmental staff, Health Information Management, Health Information Technology and other applicable staff on reimbursement and revenue cycle matters related to electronic software applications; Participates in and organizes meetings and committees as required.  FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Thorough knowledge of governmental and financial accounting standards and principles consistent with the Governmental Accounting Standards (GASB) and Financial Accounting Standards Board (FASB); thorough knowledge of the principles, practices and terminology associated with healthcare reimbursement and budgeting in the public sector; thorough knowledge of applicable laws, rules, regulations and accreditation standards as they relate to the financial operations of a public healthcare facility; good knowledge of available industry informational and regulatory resources; strong analytical skills; ability to analyze and evaluate financial data; ability to prepare detailed quantitative and qualitative financial reports; ability to supervise lower-level staff; ability to train employees; ability to stay current on regulatory matters and industry news/trends; ability to communicate effectively, both orally and in writing; ability to establish and maintain effective working relationships with a diverse constituency; ability to utilize a variety of electronic software applications; sound professional judgment; capable of performing the essential functions of the position with or without reasonable accommodation.  MINIMUM QUALIFICATIONS: Graduation from a regionally accredited or New York State registered college or university with a Bachelor's Degree in Accounting, Finance, Business Administration including or supplemented by twenty-four (24) semester credit hours in Accounting, or closely related field and five (5) years of experience* in accounting, of which one (1) year included healthcare reimbursement.   *NOTE 1 : Graduation from a regionally accredited or New York State registered college or university with a Master's Degree in Accounting, Finance, Business Administration or closely related field, including or supplemented by twenty-four (24) semester credit hours in Accounting, or Certified Public Accountant License as issued by the New York State Department of Education may be substituted for one (1) year of the required general accounting experience. If the general accounting experience substitution is used the candidate then must possess four (4) years of experience in accounting, of which one (1) year included healthcare reimbursement.   NOTE 2 : Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full-time experience requirements.

Job Summary: The Claims Reimbursement Analyst is primarily responsible for thorough review of managed care contracts and comparison of these contracts against healthcare claims to identify underpayments. The incumbent in this position will work with the payor to resolve underpayments and will ensure receipt of any additional monies owed.  They will provide feedback to other MWHC departments regarding any identified opportunities for process improvements to maximize reimbursement. The incumbent in this position will support the mission, vision, values, and strategic initiatives of Mary Washington Healthcare and must demonstrate a commitment of quality service to patients, physicians, the public, and co-workers. As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status. Essential Functions & Responsibilities:  Reviews insurance contracts to gain thorough understanding of payment methodologies. Analyzes claims and calculates reimbursements based on contract terms to determine accuracy of payment through use of various systems, reports, and supporting documentation. Contacts insurance companies to obtain missing information, explain and resolve underpayments, and arrange for payment or adjustment processing. Researches and compares third party refund requests to the contract to determine appropriateness. Submits and/or documents refund information in the financial system for all appropriate accounts.Documents and communicates trends to the Manager and makes recommendations of possible solutions.Prepares and submits correspondence such as letters, emails, faxes, online inquiries, appeals, adjustments, reports, and payment posting. Maintains regular contact with necessary parties regarding claims status including payors, managers, and other MWHC Revenue Cycle personnel.Provides feedback as necessary to other MWHC departments to ensure process improvement and training/education occurs in a timely manner. Supports and directs claims to all MWHC departments, as applicable.Build strong, lasting relationships with payors. Complies with Federal, State and local legal requirements and maintains operations by adhering to requirements, following policies, procedures, rules and regulations.Performs other duties as assigned. Qualifications: Minimum of 2 years experience working in an operational setting, preferably managed care or hospital patient accounts required; 4 years experience in managed care and/or hospital patient account receivable collections and payment variance monitoring for payors preferred.Certified Revenue Cycle Specialist (CRCS) certification or related certification required or eligible to obtain within 1 year of hire.High School diploma or equivalent required.Experience with MS Excel, Word, and Outlook.Experience working with ICD-10, CPT-4 and/or HCPCS coding systems. Knowledge of insurance submittal procedures and medial forms (including UB04 and CMS1500).Experience with reading and interpreting an extensive variety of documents such as contracts, claims, instructions, policies and procedures in written and diagram form.

Cook Children's Senior Strategic Business and Financial Analyst is responsible for reporting and analysis to the leadership and management of the corporate accounting and finance function for a 12-company pediatric health system in the Dallas-Fort Worth area.   As the Senior Strategic Business and Financial Analyst, you would be responsible for performing financial, operational, revenue cycle, and statistical analysis, in order to drive operational and financial improvement initiatives by providing recommendations to achieve outcomes that support Cook Children's organization and strategic initiatives.   You will be develop and disseminate key operational & financial benchmarks. This dissemination of data includes presentations to different stakeholder groups and senior executive leadership which will require strong written and oral communication skills. Our Senior Strategic Business and Financial Analyst is expected to show initiative and the ability to work independently. You have to be able to lead large projects and be comfortable coordinating with, and communicating to, all levels of the organization.   You, as the Senior Strategic Business and Financial Analyst, will lead the organizations effort to understand and benchmark against PROSPECT, the Children's Hospital Association's financial and operational data tool. You work closely with Cook Children's Senior Vice President of Finance, and Chief Financial Officer.   You must be able to translate highly technical results to both technical and non-technical customers. You will be expected to demonstrate ability to navigate complex data and be able to consistently validate data for timeliness, reliability, and usefulness.   Requirements:   Education and Experience: ·          Bachelor's degree in Finance, Accounting, or Business Administration (or similar degree) is required. ·          Masters' degree, preferably Masters' of Business Administration (experience in lieu of degree may be considered) ·          Minimum of 5-7 years in healthcare experience is required with, at least, two (2) years providing presentations/recommendations to organizational leaders ·          Previous supervisory experience preferred   Knowledge, Skills, and Abilities: ·          Extensive analytical ability required to evaluate and interpret financial, statistical, revenue cycle, and operational data in order to make sound and objective recommendations for strategic options ·          Ability to evaluate highly complex performance data and determine if objectives are being met.   If not, develop and recommend strategic options to improve stated objectives ·          Advance financial acumen and ability to recognize operational deficiencies through data and effectively translate/communicate outcomes and value driven opportunities to leadership ·          hrough understanding of challenges in an integrated healthcare organization including knowledge of operations, legislation, regulatory, and reimbursement ·          Advance knowledge of Excel, PowerPoint, and SQL with strong written and verbal communication skills. ·          Requires a fundamental knowledge of software that supports business and should be proficient within 90 days.   Examples include, Lawson, Epic, Strata and other data repositories  

Cook Children's Strategic Business and Financial Analyst is responsible for reporting and analysis to the leadership and management of the corporate accounting and finance function for a 12-company pediatric health system in the Dallas-Fort Worth area.   As the Strategic Business and Financial Analyst, you would be responsible for performing: ·          financial, operational, revenue cycle ·          statistical analysis in order to drive operational and financial improvement initiatives.     You will develop and disseminate key operational & financial benchmarks. This dissemination of data includes presentations to different stakeholder groups and senior executive leadership and will require strong written and oral communication skills.   You must show initiative and the ability to work independently. Cook Children's expects the Strategic Business and Financial Analyst must be able to lead large projects and be comfortable coordinating and communicating with all levels of the organization. Your will lead the organizations effort to understand and benchmark against the PROSPECT Children's Hospital Association's financial and operational data tool.   You will work closely with Cook Children's Senior Vice President of Finance, and Chief Financial Officer. Our Strategic Business and Financial Analyst must be able to translate highly technical results to both technical and not technical customers. You will need to demonstrate the ability to navigate complex data and be able to consistently validate data for timeliness, reliability, and usefulness. This role is directly responsible for: ·          financial accounting (GL / AP) ·          financial & management reporting ·          treasury     Requirements:   Education and Experience: ·          Bachelor's degree in Finance, Accounting, or Business Administration (or similar) is required. ·          Masters' Degree, preferably Masters' of Business Administration (experience in lieu of degree may be considered). ·          Minimum of 3-5 years in healthcare experience is required providing key data for decision making.   Knowledge, Skills, and Abilities: ·          Analytical ability required to evaluate and interpret financial, statistical, revenue cycle, and operational data in order to make sound and objective recommendations for strategic options. ·          Ability to evaluate highly complex performance data and determine if objectives are being met. If not, develop and recommend strategic options to improve stated objectives. ·          Working knowledge of financial acumen and ability to recognize operational deficiencies through data and effectively translate/communicate outcomes and value driven opportunities to leadership. ·          Understanding of challenges in an integrated healthcare organization including knowledge of operations, legislation, regulatory, and reimbursement.    ·          Working knowledge of Excel, PowerPoint, SQL ·          Strong written and verbal communication skills. ·          Requires a fundamental knowledge of software that supports business and should be proficient within 90 days.   Examples include, Lawson, Epic, Strata and other data repositories.

Indiana University Health is Indiana's most comprehensive health system, with 16 hospitals and more than 34,000 team members serving Hoosiers across the state. We're looking for team members who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day.   Summary:   This position exists to provide evaluation, implementation, and support of Revenue Cycle information systems. The incumbent will be responsible for ongoing system support, administration, maintenance, upgrades, and be the onsite vendor liaison for Revenue Cycle associated applications. This position is responsible for ensuring that all Revenue Cycle applications are available and functioning properly and that customer requests are satisfied on time and with the highest quality. Duties will involve problem analysis, issue resolution, and on-call support. This position will work closely with Systems Analysts, end users, technical IS staff, and application vendors. Assigned to moderately difficult IS application work. Incumbent knows and applies the fundamental concepts and practices of information systems. Incumbent performs work that is varied and somewhat difficult and can do so with only general guidance or direction. Demonstrates proficiency with troubleshooting, system functionality, and configuration, contributing to basic systems design, data structures, and documentation. Demonstrates a continued growth in systems skill set.   There is an on-call requirement, once a week, for this position. Will have the opportunity to work one day a week from home. Skills that are important for this position include:   ·                 Basic knowledge of Claim Adjustment Reason Codes ·                 Windows 2008 Server and above ·                 Relational Databases ·                 Personal Health Information (PHI) & Personal Identification Information (PII)   ·                 Server & Hardware Maintenance ·                 Basic VB Script ·                 Basic to intermediate knowledge of EDI 835 Payment Files ·                 Basic concepts of Revenue Cycle Services, specifically Cash Posting and Accounts     Receivable/Denial management ·                 T-SQL ·                 Microsoft Office – Word & Excel ·                 Microsoft Server & Desktop OS Requirements: Prefer Bachelor's or Associates degree in a technical field from an accredited university such as Computer Science, Computer Engineering, IT. Requires working knowledge of Revenue Cycle operations or associated information systems. Requires excellent written and verbal communication skills. Requires exceptional interpersonal, problem solving, quality focus, and analytical skills. Requires the ability to take initiative and meet objectives. Requires the ability to promote teamwork and build effective relationships. Requires the ability to maintain confidential communication and use judgment and discretion. Requires general consulting skill, process improvement, customer relationship skills, reporting skills, and technical zeal. Requires the ability to rely on experience and judgment to plan and accomplish goals. Requires self-motivation with the ability to prioritize, meet deadlines, and manage changing priorities in a high pressure environment. Requires a willingness to work occasionally outside of normal business hours. Requires good working knowledge skills with Microsoft Office Products.   Apply teamwork. Apply experience. Apply skill. Apply yourself. And together we can change everything.   Indiana University Health has more than 34,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we're home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care. Indiana University Health is Indiana's most comprehensive healthcare system with hospitals and specialties ranked among the nation's best by U.S. News & World Report. A unique partnership with the Indiana University School of Medicine – one of the nation's largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all. At IU Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development. With 16 hospitals, including eight with Magnet designation and five with Pathways to Excellence designation, our team members are leading the way through excellence. IU Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation's healthiest states.                    

Position Highlights: The Research Patient Financial Specialist is the primary contact responsible for coordinating and conducting research patient billing reviews on a routine basis.  The Specialist will assist in the improvement of research billing procedures, helping to ensure the accuracy of ordering research-related patient care services through the research pathway and development of documentation for compliance reporting.  The Specialist will also work with analysts to ensure that all charges are captured and billing the E & M outpatient and inpatient services for physician research The Ideal Candidate: The ideal candidate will have experience working in a clinical setting, clinical research hospital/physician, medical audit or case management, patient financial services and/or revenue cycle. The candidate will have exceptional attention to detail and have investigatory and analytical skills. Responsibilities: Reviews active research patient accounts for business office requirements.  Audits Research patient accounts Reviews, researches and resolves complex research patient billing issues Assists in the development of research patient financial services policies and procedures Apply appropriate and varying processing procedures in determining research charges which need to be written off Identify research patients billing discrepancies Review of all services for completed documentation before releasing to billing system Identify missing charges from review of scheduling reports and communication this to dept admins Review of research protocols to determine appropriate billing of service for patients on clinical trials Credentials and Experience: Associate's Degree required In lieu of an Asso Degree, a high school diploma with one (1) year of additional patient financial services and/or revenue cycle Moffitt experience may be considered or In lieu of an Asso Degree, a high school diploma with two (2) years of additional (6 years total) related medical audit or cast management, patient financial services and/or revenue cycle may be considered Minimum of four (4) years' experience working in clinical setting, clinical research hospital/physician, medical audit or case management, patient financial services and/or revenue cycle.

This position is responsible for configuring, building, installing, and supporting the Epic professional billing application.   This position is responsible for acquiring knowledge of Epic's billing software, working independently in completing project tasks and executing all tasks as part of a billing systems implementation.   This position will require the ability to work with various organizational leaders to establish priorities for the Epic billing module and establishing billing best practices and procedures. Qualifications:   Requires an Associate or Bachelor's degree in Computer Science, Business or clinical related field or equivalent work experience.   Three (3) – five (5) years' experience and solid understanding of revenue cycle management and/or experience with billing operations.   Excellent analysis, problem solving, trouble-shooting and customer service skills.

Job Summary The role the AR Application Support Analyst is to assist EMHS 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 EMHS organizations. The AR Application Support Analyst – Senior will utilize technology and an analytical approach to drive process improvement.   This role will manage projects for EMHS Business Office and downstream revenue cycle tasks with the purpose of improving revenue cycle process outcomes.   This position requires competency in revenue cycle, financial, business, clinical or other analytical skills with a focus on key performance metrics.   This position is responsible for obtaining and maintaining in-depth knowledge of the software functionality used within all areas impacted by business office functions.   This role serves to improve the overall effectiveness of policies, practices and technology platforms.    This role will analyze complex financial data and transform to relevant information.    In addition this role will serve in the areas of process improvement, organizational development, change management, performance monitoring, and other analytical needs. The primary responsibility of this role is to assist in data and information needs to show both gap in performance as well as measurement of initiatives and tactics.   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 EMHS. 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 EMHS.   Effectiveness will be measured in terms of improved financial based on maximizing technology, applying appropriate analysis and through workflow management, commitment to EMHS and customer satisfaction.     Education and Experience ·          Bachelor's degree and at least 5 years of progressively responsible experience in utilizing technology and analytics to drive operational process improvement in revenue cycle operations       OR associate's degree and at least 9 years of progressively responsible experience in utilizing technology and analytics to drive operational process improvement in revenue cycle operations       OR high school diploma and at least 13 years of progressively responsible experience in utilizing technology and analytics to drive operational process improvement in revenue cycle operations, ·          Certified Revenue Cycle Professional Certificate within 3 years of employment   Required Minimum Knowledge, Skills and Abilities ·          Demonstrated experience in gathering and analyzing information skillfully, develops alternative solutions. ·          Demonstrated experience in diagnosing, evaluating and developing corrective actions for problems in the Business Office and Revenue cycle operations.   ·          Experience with EMHS Software, data and business information is preferred. ·          Detailed knowledge of revenue cycle technology, reimbursement methods, data streams, auditing principles and process improvement. ·          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-9, 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. ·          Customer oriented. ·          Demonstrated ability to work both independently and collaboratively.   ·          Ability to effectively influence change   Travel Requirements: [JDJ1]   ·          15 – 50% travel may be required. ·          Employee must have a valid drivers' license and possess own transportation.   Essential Functions   People ·          Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements. ·          Administer Access for Payer Websites for all EMHS PAS Staff ·          Mentors staff in support of succession planning.   Service ·          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. ·          The position requires flexibility to perform under various revenue cycle initiatives. ·          This position 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 EMHS.    ·          Serves as a project manager for operational areas working on major system implementations, performance improvement efforts and workflow redesign. Assist with special analysis and projects as needed.   Quality ·          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. ·          Actively seek optimal use of technology and seek and recommend new information technology solutions that will support and enhance business office functions. 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. Assists in gap analysis and transforming data into useful information. Update scorecards and other data tools to help provide actionable information. Coordinate a collaborative process for the development of policies, procedures, and internal controls. Work collaboratively with manager / director to identify best practices and help develop performance standards that can be tracked and reported. ·          Meet or exceed the EMHS performance standards as it relates to quality and productivity.   Finance ·          Maintain on-going support of all business applications and manage the impact of technology to optimize business office work processes. ·          Evaluate and interpret data to monitor performance, identify trends and determine root cause issues. ·          Develop weekly/monthly/yearly accounts receivable reports designed to track and trend Key performance indicators and report results to key stakeholders. ·          Review and analyze on-going operational performance based on computer generated data and manual reports (ATB'S, Days in A/R, Bad Debt Turnover, Contractual allowances, claims denials, late charge activity, accounts discharged/not final billed, Charity Care write offs and other deductions to Revenue). Review and analyze Business Office functions to identify fragmented processes and make recommendations for improvement. ·          Collaborate with other teams and business partners to facilitate resolution of process/procedural issues, implement strategies and initiatives for process re-design. Perform Month End and Year End Reporting and Report Analysis.   Growth Attend [JDJ2]   local, regional, national and WebEx seminars to remain current in supporting the needs of Business Office and Revenue Cycle activities. Remain current in data analytics knowledge by attending various seminars and classes relevant to current business needs. ·          Serves as a project manager for operational areas working on major system implementations, performance improvement efforts and workflow redesign. ·          Maintain current in areas of business office/revenue cycle applications that improve business office operational functions. ·          Reviews Third Party Regulatory publications to maintain knowledge base concerning compliance, billing requirements, reimbursement and coverage issues. Maintains current knowledge of regulatory developments involving agencies such as CMS/NGS, MHDO, DHS and Joint Commissions.   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.  

Job Summary: The Revenue Integrity Liaison will help ensure the submission of clean, accurate claims that are compliant with coding guidelines, payor requirements and government regulations. The incumbent of this position will maintain the integrity of the revenue capture system for Mary Washington Healthcare.  The Revenue Integrity Liaison will interact with other hospital departments to provide assistance in charge capture in their departments.   As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status. Essential Functions & Responsibilities:  Identifies root causes of edits; collaborates with Patient Financial Services, Corporate Compliance and Clinical Departments to reduce the occurrence of edits.Resolves coding-related claim edits (e.g. CCI, LCD) on outpatient hospital claims.Collaborates with CDM Analyst to resolve charge errors and ensures hospital services are correctly charged and billed appropriately to the patient.Assists in the analysis and resolution of outpatient ancillary denials. Reviews denials to identify trends.Works with departments, operational and business managers to develop and reinforce process improvement activities in the areas of charge capture integration, charge reconciliation, and revenue cycle training.Reviews all observation patient documentation to determine appropriate hours to be billed based on carve outs, in addition to documentation for infusion and injections.Works with Patient Accounting (Denials Billing and Third Party) to identify issues related to denied charges for hospital services.Meets with clinical departments quarterly to communicate variances and opportunities to improve overall charge capture. Assists with updating and providing education support regarding identifying existing charging problems and developing resolutions.Audits charge capture utilizing software tools. Provides feedback to the various departments based on audit results.Performs other duties as assigned. Qualifications:  High school or equivalent required.CCS, CPC-A, CPC, COC-A, COC, CIC-A, CIC, RHIT or RHIA certification required.A minimum two years Patient Accounts Billing, Compliance, or Revenue Integrity related work experience is preferred.Knowledge of general hospital billing processes, medical terminology and coding guidelines is required.Excellent organizational, oral and written communication skills.Familiarity with hospital charging systems and knowledge of CPT, HCPCs, Revenue Codes and Revenue Cycle preferred.Prior experience with Microsoft Excel and Word, Cerner, 3M, MedAssests and/or ICD-10 is preferred.Ability to facilitate education and apply critical and analytical thinking skills is preferred.

Overview The Single Business Office (SBO) acts as the organization’s primary contact for patient reimbursement issues in accordance with established compliant billing, credit, collection and charity policies. SBO staff work with third-party payers and patients to ensure timely recovery of outstanding accounts receivable for both facility and professional services. All communications are conducted in a manner that will result in positive patient relations and prompt reimbursement for the organization. Tufts Medical Center’s Director, Single Business Office (SBO Director) oversees the output and quality of all back-end business functions and collaborates with the VP of Revenue Cycle and Wellforce cohorts to identify strategies for best practice operations as measured through industry defined KPIs. The SBO Director will work collaboratively with other Revenue Cycle departments and Clinical Operations throughout the Medical Center, Floating Hospital and Physician Organization to ensure that the processes executed prior to SBO functions provide for timely, complete and compliant billing and expedite cash collections.  The SBO will dedicate resources appropriately across all of Tufts, with a focus on high financial risk areas with complex processes.  The SBO Director will monitor the performance of supporting SBO managers and supervisors to ensure that all highly complex andhigh-volume production functions are efficient and effective. The position requires highly refined management supervisory and communication skills that will facilitate timely resolution of sensitive collection issues within an environment of favorable public relations. Includes contact with patients, physicians, administration, and third-party payers. Responsibilities Establishes goals and objectives for the entire SBO department. Works with subordinate management staff to establish performance objectives. Supervises a systematic and fully integrated registration credit and collection process. This requires an ongoing procedure for securing and analyzing information concerning patients’ third-party coverage and/or ability to meet healthcare expenses. Directs appropriate follow-up procedures with responsible supervisory personnel to achieve collection on outstanding patient responsibility. Directs appropriate billing procedures with various third-party payers. This ensures monitoring all billing activity. Coordinates activity with other departments such as Clinical Operations, Management Information Systems, Case Management, and other Revenue Cycle Departments. Recommends and directs procedure for the referral of accounts to outside collection agencies. Coordinates and monitors the performance of outside collection agencies including periodic on-site visits to those agencies. Interviews and evaluates new collection agencies or agency services available to the system and directs the maintenance of a documented file on all collection steps taken. Collection steps must be defined for all slow and delinquent accounts including collection letters and follow-up procedures. Plans and directs procedures for writing off bad accounts and secures written approval as required. Keeps abreast of all regulations and standards to ensure compliance with orders or directives issued by duly constituted governmental/regulatory agencies or third-party payers. This covers such areas as billing, reporting procedures, and development of data to meet the requirements of billing and cost reporting for all payers. Regularly reviews aged trial balance of open accounts. Keeps abreast of 501(r) and all federal, state, and local regulations relating to the extension of credit, billing, and allowable follow-up procedures. Directs the recruitment and training of new personnel and evaluates personnel under their supervision. Keeps the VP Revenue Cycle and Chief Financial Officers informed on the status of significant issues impacting SBO KPIs, efficiency and effectiveness. Reviews and prepares reports regarding status of accounts receivable for both hospital and professional services. Performs other duties as assigned. Requirements   Excellent oral and written communication skills as well as excellent customer service, analytical, organizational, motivational, problem-solving and interpersonal skills required. Extensive experience with sophisticated and highly automated revenue cycle and proficiency with other business related software applications (e.g., MS Word, Access, Excel, Power Point and other Data Analyst tools, etc.). Demonstrated ability to work well with and motivate all levels of employees from physicians to staff. Proven track record of building and leading teams. Strong interactive leadership presence and skills. BA/BS, preferably in Business and/or Healthcare Administration. MBA Preferred. At least seven to ten years experience in Hospital finance or revenue cycle.  Physician practice experience preferred. Third party billing experience and superior knowledge of Massachusetts and U.S. third party billing laws preferred. Knowledge and understanding of statistics and modeling and relevant clinical/business practices. Licensure or certification (CPA, CMA, FHFMA, CPAM) preferred. Normal office work environment.Work requires frequent typing/computer keying. Must be able to perform all essential functions of this position with reasonable accommodation if disabled.

Job Summary:  The Revenue Integrity Analyst is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection. The Revenue Integrity Analyst will be responsible for reviewing and interpreting Managed Care contracts and fee schedules to maximize reimbursement for all PCC locations. Additionally, the position will be responsible for monthly audits of Finance reports ensuring charge accuracy and billing.   The Revenue Integrity Analyst has responsibility for the most complex clinical departments and practices, acting with a high degree of autonomy, performs various audits with a focus on revenue cycle integrity. The Revenue Integrity Analyst is responsible for providing assistance in maintaining systems, processes and work flows, for the timely and accurate recording of medical group revenue in regards to charge capture. Serves as a facility liaison to medical group staff as it relates to charge capture/billing concerns and works with the technical, operational and clinical staff to ensure optimal charge capture processes are established and maintained. Using knowledge of state and federal guidelines, this position monitors compliance and ensures timely entry of patient charges.    Qualifications:  Bachelor's degree and two (2) years EPIC PB/HB experience is required.     . At least five (5) years Revenue cycle and three (3) years relevant healthcare experience working with Revenue Integrity, and/or coding/audit functions is required.   RHIT/RHIA/CCS/CPC is preferred.     Solid understanding of both inpatient and outpatient billing processes.   Working knowledge:   Microsoft Office products and/or Google products.   EOE AA M/F/Vet/Disability

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. 

Steward Health Care System LLC ("Steward") is a fully integrated, physician-led national health care services organization committed to providing the highest quality of care in the most cost-efficient manner in the communities where our patients live.  Steward - the largest privately held health care company in the U.S. - owns and operates 35 community hospitals across nine states, serves over 1,000 distinct communities and employs approximately 40,000 health care professionals.  In addition to our hospitals, the Steward provider network includes 4,800 providers, 25 urgent care centers, 87 preferred skilled nursing facilities, substantial behavioral health offerings, over 7,300 hospital beds under management, and approximately 1.5 million full risk covered lives through the company's managed care and health insurance services.  Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, New Jersey, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.   The Revenue Performance Manager is responsible for functioning as the liaison between Revenue Cycle Operations and SMG Practices.  Working closely with SMG Directors and Practice Managers in their assigned region(s), the RPM will help identify opportunities to optimize revenue cycle/billing activities and identify areas for revenue growth. This position will provide strategic guidance to optimize reimbursement by: Developing relationships with practice leaders and an understanding of their practices in order to best assess opportunities for improvement. In partnership with the Business Analytics team, monitoring KPIs to uncover trends, both positive and negative, in effort to provide feedback and guidance to the Director and to practices. In conjunction with Financial Analysts, participate in or lead month end close reviews to represent trends and opportunities in revenue and AR. Building and maintaining a business plan for their market, including goals and initiatives for optimization and growth. Demonstrating improvement and growth of market through measurable results. Helping practice leaders troubleshoot and resolve day to day revenue cycle issues and questions. Responsibilities: Demonstrate knowledge of assigned market, including org charts, service lines, practice performance, challenges, and opportunities. Plan, prepare, and conduct monthly meetings with Practice Director(s), utilizing metrics and data to support findings and prioritize initiatives. Plan, prepare, and conduct quarterly close meetings with practice leaders, utilizing practice performance and revenue cycle KPIs to guide discussion and establish priorities. Work with SMG practices to ensure all billable events are reconciled and submitted in timely manner.  Establish and maintain feedback loop between Revenue Cycle and practices regarding claim productivity and throughput.  Identify and monitor trends in revenue processes requiring intervention with practices (ie, denial trends). Work with practices to determine corrective course of action. Serve as the liaison and advocate between Practice Operations and Revenue Cycle to monitor revenue team responses to practice issues / concerns and ensure appropriate follow-through.  Act as escalation resource when needed. Partner with SMG Training & Development Manager to assess the training needs of staff in the practices and ensure successful training. As needed, represent the Revenue Cycle department on work groups and/or task forces.     Required Qualifications:   Bachelor’s degree or equivalent amount of education and experience. At least five years of experience in physician practice revenue cycle operations and/or practice operations.  Track record of leading growth and optimization projects to successful completion. Ability to manage and lead through influence and relationship building. Excellent communication and team building skills. Experience using analytics, reporting, KPIs and metrics to drive decisions and outcomes. Self-motivated, and organization, thrives in fast paced environment.  

Steward Health Care System LLC ("Steward") is a fully integrated, physician-led national health care services organization committed to providing the highest quality of care in the most cost-efficient manner in the communities where our patients live.  Steward - the largest privately held health care company in the U.S. - owns and operates 35 community hospitals across nine states, serves over 1,000 distinct communities and employs approximately 40,000 health care professionals.  In addition to our hospitals, the Steward provider network includes 4,800 providers, 25 urgent care centers, 87 preferred skilled nursing facilities, substantial behavioral health offerings, over 7,300 hospital beds under management, and approximately 1.5 million full risk covered lives through the company's managed care and health insurance services.  Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, New Jersey, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.   The Revenue Performance Manager is responsible for functioning as the liaison between Revenue Cycle Operations and SMG Practices.  Working closely with SMG Directors and Practice Managers in their assigned region(s), the RPM will help identify opportunities to optimize revenue cycle/billing activities and identify areas for revenue growth. This position will provide strategic guidance to optimize reimbursement by: Developing relationships with practice leaders and an understanding of their practices in order to best assess opportunities for improvement. In partnership with the Business Analytics team, monitoring KPIs to uncover trends, both positive and negative, in effort to provide feedback and guidance to the Director and to practices. In conjunction with Financial Analysts, participate in or lead month end close reviews to represent trends and opportunities in revenue and AR. Building and maintaining a business plan for their market, including goals and initiatives for optimization and growth. Demonstrating improvement and growth of market through measurable results. Helping practice leaders troubleshoot and resolve day to day revenue cycle issues and questions. Responsibilities: Demonstrate knowledge of assigned market, including org charts, service lines, practice performance, challenges, and opportunities. Plan, prepare, and conduct monthly meetings with Practice Director(s), utilizing metrics and data to support findings and prioritize initiatives. Plan, prepare, and conduct quarterly close meetings with practice leaders, utilizing practice performance and revenue cycle KPIs to guide discussion and establish priorities. Work with SMG practices to ensure all billable events are reconciled and submitted in timely manner.  Establish and maintain feedback loop between Revenue Cycle and practices regarding claim productivity and throughput.  Identify and monitor trends in revenue processes requiring intervention with practices (ie, denial trends). Work with practices to determine corrective course of action. Serve as the liaison and advocate between Practice Operations and Revenue Cycle to monitor revenue team responses to practice issues / concerns and ensure appropriate follow-through.  Act as escalation resource when needed. Partner with SMG Training & Development Manager to assess the training needs of staff in the practices and ensure successful training. As needed, represent the Revenue Cycle department on work groups and/or task forces.     Required Qualifications:   Bachelor’s degree or equivalent amount of education and experience. At least five years of experience in physician practice revenue cycle operations and/or practice operations.  Track record of leading growth and optimization projects to successful completion. Ability to manage and lead through influence and relationship building. Excellent communication and team building skills. Experience using analytics, reporting, KPIs and metrics to drive decisions and outcomes. Self-motivated, and organization, thrives in fast paced environment.