Patient Financial Services Systems Analyst /FT, day

Children's Hospital & Medical Center•Omaha, NE

About The Position

The Patient Financial Services (PFS) Systems Analyst manages and/or coordinates organizational initiatives to optimize PFS workflows and system functionality. PFS includes accounts receivable for insurance and self-pay, as well as cash management in both hospital and professional settings. The analyst identifies opportunities for improvement and helps prioritize them according to organizational needs and goals. The role collaborates with internal and external stakeholders, including revenue cycle teams, banking partners, Finance, IT, and vendors. The analyst supports PFS systems and workflows through reporting and analytics, requirements definition, application and system analysis, project coordination, testing, issue tracking, and process improvement. The role also researches industry practices and innovations, including robotic process automation and AI solutions for the revenue cycle. The position requires a bachelor's degree in a relevant field or equivalent work experience, five years of relevant healthcare experience, and job-related certification within nine months of hire.

Requirements

Bachelor's degree from an accredited college or university in healthcare administration, information systems, business, or a related field, or equivalent work experience.
At least 5 years of experience in healthcare billing, healthcare collections, healthcare finance, healthcare registration, or healthcare IT.
Must obtain a job-related certification within 9 months of hire and maintain certification(s) for the duration of employment in Revenue Cycle.
Comprehensive knowledge of hospital and clinic revenue cycle operations.
Knowledge of hospital and physician billing cash posting requirements and standard practices.
Knowledge of the current healthcare climate, including managed care developments, HIPAA standards, and governmental program regulations.
Knowledge of healthcare EMR workflow, preferably Epic.
Proficiency with Microsoft Office Suite, especially Visio and PowerPoint.
Intermediate to advanced knowledge of Excel and Word.
Ability to communicate effectively verbally and in writing.
Knowledge of CPT, HCPCS, and revenue codes and their effect on hospital reimbursement.

Nice To Haves

At least 1 year of experience in Information Technology.
Previous Epic application experience and certification.

Responsibilities

Manage and/or coordinate initiatives to optimize PFS workflows and support long-term organizational goals.
Create and maintain reports and perform analytics to identify opportunities and trends affecting key performance indicators.
Evaluate and optimize PLB, RMC, and RMO mapping.
Produce staff productivity reporting.
Assist with daily cash reconciliation.
Define requirements for updates or changes to existing systems and implementation of systems, including EHR, finance, banking, and vendor systems.
Develop cross-initiative integration plans across multiple systems and support a variety of applications.
Participate in system analysis and business/PFS projects, including application module implementations, enhancements, upgrades, third-party product implementations, and periodic application releases.
Research industry best practices and technological innovations, including robotic process automation and AI solutions for the revenue cycle.
Collaborate with Revenue Cycle Management, IT, and vendor partners on routine maintenance and organizational objectives.
Monitor and coordinate open issues and tickets affecting PFS.
Plan, prepare, document, and assist with application, integrated, and unit testing for PFS-related functions.
Identify PFS workflow and process optimization opportunities and make recommendations.
Lead assigned PFS projects to ensure targets are attained and deadlines are met.
Work across business and functional areas to ensure process alignment and implementation.
Work with project teams to document process flows and recommend workflow optimization.
Support projects focused on PFS assessments, process improvement, and process alignment and implementation.