Position: Senior Revenue Cycle Operations Analyst

Department: Patient Financial Services Cashiers

Schedule: Full Time, Remote

This role requires advanced working knowledge of healthcare applications including, but not limited to Epic, Onbase, Payer Portals, Pay Plus, Instamed.

POSITION SUMMARY:

Under the direction of the Cash Processing Manager and Director of Middle Revenue Cycle, the Senior Revenue Cycle Operations Analyst is responsible for maintaining the integrity of cash for both Boston Medical Center (BMC) and Boston University Medical Group (BUMG). The Senior Revenue Cycle Operations Analyst is responsible for ensuring maximum efficiency and accuracy of accounts receivable balances through payment posting, credit and refunds oversight, and daily/weekly/monthly auditing. The Senior Revenue Cycle Operations Analyst is also responsible for monitoring, working and assessing various workqueues within the Electronic Health Record (EHR) system, answering questions submitted by the Revenue Cycle Operations Analysts related to workqueue processes and working with IT to improve system workflow based on trends and patterns identified. The Senior Revenue Cycle Operations Analyst is responsible for developing policies and procedures, ensuring policies and procedures are followed by the Analyst, as well as supporting the business operations for assigned functions within the Revenue Cycle Operations team and in support all revenue generating departments. The responsibilities will include: monitoring the work processes of the Revenue Cycle Operations Analysts to ensure accuracy of electronic and manual posting and workqueue processes, distribute results of daily/weekly/monthly reconciliation findings to Analyst, partner with the Cash Processing Manager to answer questions, train staff and perform ad-hoc analytical tasks as assigned. The Senior Analyst acts as a liaison working with internal staff and staff within the departments on tasks related to incorrect posting and researching missing payments. The Senior Revenue Cycle Operations Analyst functions as a subject matter expert in medium to large size projects and works to create a positive, constructive, and supportive working environment.

This position will work with other internal Finance team members, Department Administrators, the Treasury Department, third party billing vendors and internal/external customers.

JOB REQUIREMENTS

EDUCATION & EXPERIENCE:

• Associates Degree plus at least seven years of experience in healthcare cash processing, finance, patient accounting and/or physician billing, preferably in an Academic Medical Center setting.

  OR

  Bachelor's Degree plus at least five years of experience in healthcare cash processing, finance, patient accounting and/or physician billing, preferably in an Academic Medical Center setting.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

• None

KNOWLEDGE AND SKILLS:

• Ability to work independently and possess effective time management skills to permit handling of multiple projects and or tasks
• Proven advanced level abilities in problem management, process analysis, and root cause analysis
• Interviewing/listening skills required to enable talking with individuals and groups about current processes and issues to ask the right questions to yield essential information that will be used to evaluate processes and determine potential solutions.
• Able to excel in a complex, demanding environment with time-sensitive deadlines.
• Proven abilities in problem management, process analysis, and root cause analysis.
• Ability to communicate analysis including trends and opportunities to stakeholders both verbally and through writing
• At minimum, advanced level of proficiency with Window based software, including but not limited to Microsoft Word, Outlook, Excel and PowerPoint
• Excellent presentation skills and interacting with senior levels of hospital management and with physician leaders.
• Excellent organizational and project management skills.
• Highly responsive to manage time effectively, attention to detail, and follow through.
• Strategic thinker with business acumen.
• Superior analytical skills to evaluate information gathered from multiple sources and synthesize into actionable information
• Excellent writing, interpersonal and organizational skills

ESSENTIAL RESPONSIBILITIES / DUTIES:

Provide support to all revenue generating departments on cash related issues in collaboration with departmental stakeholders, Revenue Cycle teams and Finance.

Completes daily/weekly/monthly reconciliation processes identifying posting discrepancies and cascade the information to the responsible Revenue Cycle Operations Analyst for correction.

Perform month end tasks including, but not limited to, reconciliation, compiling refund information for the Community Health Centers, preparing reconciliation documents for BMC and BUMG Finance Teams.

Collaborates with management, departmental stakeholders and Revenue Cycle teams to educate, recommend, and assess operational and system workflows; troubleshoot; and resolve problems, including providing written analyses, explanations and interpretations of findings.

Serves as a cash processing subject matter expert to internal and external team members and third party billing vendors.

With limited manager oversight, develop lead complex medium to large projects related to cash processing initiatives and ensure assigned projects are completed in the most timely and efficient manner possible.

Responsible for the compilation and distribution of reconciliation reporting for assigned areas and validating the reports prepared by the Analysts.

Establish Epic workqueue data metrics, and associated root cause analysis. Executes workflow processes to correctly identify deficiencies. Formally prepares and presents findings in an efficient and effective format to project team members and leadership.

Collaborates effectively with diverse groups of people and various service departments throughout the organization.

Based on cash processing issues, researches and recommends process improvements, which includes writing procedures, training, and monitoring the new process.

Responsible for coordinating cash service communication among the professional billing office, practices, and billing vendors, as needed.

Serves as liaison for professional cash management to the hospital analytics department, to compound trends, issues, and payer-related changes.

Act as a team liaison as internal team members perform various assessments, analytical research and support including, but not limited to: root-cause analyses, workqueue assessments and remittance reviews all payers and departments.

Make recommendations for functional work streams with proper strategic planning.

Provide first tier escalation support to Revenue Cycle Operations Analysts, departmental stakeholders, Revenue Cycle departments, internal and external customers.

Works in collaboration with team members throughout the organization to coordinate audit schedules and prepares data requests for internal and external audit teams. Acts as liaison to auditors to address audit questions additional data requests.

Performs other duties as directed or assigned.

Must adhere to all of BMC's RESPECT behavioral standards.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).IND123

Equal Opportunity Employer/Disabled/Veterans