Revenue Cycle Operations Analyst

Company :

Allegheny Health Network

Job Description : 

GENERAL OVERVIEW:

This job is responsible for the configuration, rollout, and support of assigned Revenue Cycle applications, with a focus on Epic systems. Responsibilities include business/systems analysis, requirements definition and documentation, system design, problem resolution, and ensuring optimal performance of revenue cycle workflows within the Epic environment. The analyst communicates with system end-users and Revenue Cycle stakeholders to understand issues, implement solutions, and drive continuous improvement.

ESSENTIAL RESPONSIBILITIES:

• Must provide systematic daily support to numerous health system management teams within the Revenue Cycle. Supports the business, technical, and operational needs of the Revenue Cycle departments. Departments include but not limited to Patient Access, Patient Accounts, Health Information Management and Finance. Must focus on a balanced approach to systems that considers organization needs, human issues and technology factors. Ability to define the problem, identify requirements, visualize solutions and gain user involvement. Possess the ability to solve practical problems and deal with a variety of variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form. (40%)

• Coordinate various aspects of project implementations, system upgrades, break/fix issues, training and quality assurance processes. Solves problems as they arise, conducting root cause analysis to arrive at independent conclusions and performing needed steps in coordination with other analysts to document and resolve problems. Assist in system functional and user acceptance testing. (20%)

• Designs/builds, tests, implements, and supports the needs of Epic software related to Revenue Cycle workflows. Contributes to small to medium tasks/projects independently and participates in larger initiatives with Senior Analysts or project teams. Updates stakeholders as appropriate on a timely basis regarding progress on assigned tasks, projects, and issues. (20%)

• Function as a liaison between Information Technology, systems vendors and Revenue Cycle departments. (10%)

• Communicates easily, accurately and confidently. Tactfully and diplomatically negotiates based on need and foresight in conflicting situations. Effectively presents information and responds to questions from groups of hospital managers, staff, QI teams, clients (i.e. physicians, clinics), coworkers and other customers and associates. Effectively communicates via telephone and messaging. (10%)

• Other duties as assigned or requested.

QUALIFICATIONS:

Minimum

• Epic proficient or certified within one year of hire date

• 3-5 years healthcare revenue cycle experience

Preferred

• Bachelor's degree

• Certified Revenue Cycle Specialist or higher

• 1-3 years of systems administration experience within one or more modules of Epic

• Healthcare experience; system implementation; Epic or other healthcare financial information experience; electronic claims system experience

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$31.02

Pay Range Maximum:

$48.54

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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