Business Analyst in Denville, NJ at Prime Healthcare

Date Posted: 9/11/2019

Job Snapshot

Job Description



Overview

JOB SUMMARY:   Under the direction of the VP of Revenue Cycle, this position will drive business value by supporting Revenue Cycle management in the analysis of Revenue Cycle data, as well as proactive identification and implementation process improvement opportunities by applying analytical and critical thinking to generate innovative and practical solutions that drive organizational results through increasing revenues and efficiencies. This position will be able to function as the Subject Matter Expert (SME) for Revenue Cycle operations for strategic project implementations. Additionally, the Business Analyst will serve as the liaison and point of contact between teams and departments to ensure the initiatives and requirements are being met.

Responsibilities

DUTIES AND RESPONSIBILITIES 1. Identify revenue cycle trends utilizing real data, compile analysis reports that are delivered to Revenue Cycle staff and follow-up on all results 2. Determine and document user requirements for business processes and abide by those requirements for future projects 3. Communicate and deliver change management initiatives to all revenue cycle staff. 4. Perform quality assurance on all data and reports prior to delivery to stakeholders 5. Own and develop relationship with revenue cycle staff, working with them to optimize and enhance our integration 6. Report on common sources of technical issues or questions and make recommendations to product and vendor team 7. Constantly be on the lookout for ways to improve monitoring, discover issues and deliver better value to the appropriate end users 8. Conduct comparative charge data analyses at the procedure code level to identify pattern distribution variances; presents variance analysis to clinical service line leaders for validation; develops supplemental training materials to support appropriate charge determination practices. 9. Document all new business and process improvement initiatives 10. Serve as the SME on assigned systems; design and provide formal training to revenue cycle staff as requested 11. Coordinate project delivery by participating in design reviews and status meetings with all internal and third party teams 12. Proactively updates management on project or operation risks 13. Understand and manage personal access to all facility electronic medical record systems for report writing 14. Develop additional charge capture policies and procedures as necessary to supplement and/or clarify existing documentation. 15. Performs other duties as assigned or required.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

 

  • Bachelor’s degree in Business, Finance, Business Analytics, Healthcare Administration or other healthcare related profession.

  • Minimum of two (2) years of experience in Revenue Cycle processes and applications such as billing, coding, reimbursement methodologies, claim denial, etc.

  • Proficient in business software applications

  • Working knowledge of windows based personal computers

  • Ability to use independent judgement and decision-making

  • Possesses project management, change management and analytical skills necessary to develop and implement appropriate changes.

  • We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf