Revenue Cycle Analyst

At Houston Methodist, the Revenue Cycle Analyst position is responsible for facilitating (gathering, trending, reporting, monitoring, analyzing) data and analytics and various data driven initiatives pertinent to the revenue cycle within the organization, acting as a bridge between the client, stakeholders and assigned team. The Revenue Cycle Analyst is assigned to projects of intermediate complexity and scope and is responsible for identifying the business needs of clients and stakeholders to optimize reimbursement. Duties involve producing, analyzing, validating and documenting business, organizational and/or operational requirements.

FLSA STATUS
Exempt

QUALIFICATIONS

EDUCATION

• Bachelor’s degree (preferably in business administration, finance, healthcare administration, or related discipline) or additional four years of experience (in addition to the minimum experience requirements listed below) in lieu of degree

EXPERIENCE

• Three years of experience supporting revenue cycle functions

LICENSES AND CERTIFICATIONS
Required
SKILLS AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Ability to complete sophisticated analytical, consultative, and information support through analysis and report preparation
• General knowledge of Performance Improvement methodologies
• Skill in general use of spreadsheet, database and word-processing software
• Ability to independently analyze and solve problems
• Interpersonal skills for interfacing with all levels of customers and collaborating across clinical and non-clinical departments
• Ability to multi-task with good attention to detail
• Ability to enhance reporting effectiveness and efficiency

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

• Bridges communication channels between the department, the Business Office, the Single Billing Office (SBO), and other respective stakeholders.
• Works closely with the operations teams to identify and eliminate barriers to account resolution that directly impact optimal reimbursement.
• Engages customers and acts as liaison between operations and the technical team. Utilizes revenue cycle knowledge base to meet and develop business intelligence and document business case/scope/plan. Sets expectations and coordinates team members utilizing teamwork and collaborative skills.

SERVICE ESSENTIAL FUNCTIONS

• Participates in various initiatives as a revenue cycle subject matter expert. Gathers and assimilates data and provides insight to leaders, committees and task forces.
• Assists in the development, maintenance, and distribution of ad-hoc reports and financial models as needed.
• Analyzes complex data sets to identify trends and variances to support optimal reimbursement. Communicates complex analytic findings and conclusions in an easy-to-understand manner.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Extracts data, develops and presents logical and comprehensive analyses and/or summaries on key metrics, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, such as claim submission, insurance and self-pay collections, refunds and write-off approvals. Performs data analysis on an independent basis and consults with management as necessary.
• Performs required testing and quality assurance to ensure solutions delivered are defect free and of high quality.
• Ensures the quality and integrity of data collected for decision making and works with the other areas of the organization to ensure consistency as applicable. Ensures information is consistent, accurate, relevant and timely.

FINANCE ESSENTIAL FUNCTIONS

• Supports financial strategy and analysis activities including business analysis, financial metrics, and project management.
• Utilizes department resources and supplies effectively and practices good time management. Helps minimize excess cost(s) by assisting and recommending solutions in achieving organizational objectives.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Continuously seeks new and creative technologies and innovations that help identify and guide improvement opportunities.
• Stays current on revenue cycle and industry trends. Actively engages in personal assessment and expands learning beyond baseline competencies with a focus on continual development (i.e., participates in training opportunities, focal point review activity, etc.). Applies new learning.
• Proactively manages own professional development.

SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE

• Uniform: No
• Scrubs: No
• Business professional: Yes
• Other (department approved): Yes

ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.

• On Call* No

TRAVEL**
**Travel specifications may vary by department**

• May require travel within the Houston Metropolitan area Yes
• May require travel outside Houston Metropolitan area No

QUALIFICATIONS

EDUCATION

• Bachelor’s degree (preferably in business administration, finance, healthcare administration, or related discipline) or additional four years of experience (in addition to the minimum experience requirements listed below) in lieu of degree

EXPERIENCE

• Three years of experience supporting revenue cycle functions

LICENSES AND CERTIFICATIONS
Required