Patient Financial Services Systems Analyst /FT, day

Children's Nebraska•Omaha, NE

About The Position

The Patient Financial Services (PFS) Systems Analyst manages and coordinates initiatives to optimize PFS workflows and system functionality. PFS includes accounts receivable for insurance and self-pay, as well as cash management in hospital and professional settings. The analyst identifies improvement opportunities and helps prioritize them according to organizational needs and goals, collaborating with revenue cycle teams, banking partners, Finance, IT, vendors, and other stakeholders. The role analyzes performance and workflows, supports system changes and integrations, and participates in application implementations, enhancements, upgrades, third-party product integrations, and releases. It also coordinates issue resolution and testing, leads assigned PFS projects, documents process flows, and recommends workflow improvements. The analyst researches industry practices and technology, including robotic process automation and AI solutions for the revenue cycle.

Requirements

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

Nice To Haves

One year of experience in Information Technology.
Previous Epic application experience and certification.
Knowledge of CPT, HCPCS, and revenue codes and their effect on hospital reimbursement (medium proficiency).

Responsibilities

Manage and coordinate organizational initiatives to optimize PFS workflows, system functionality, and long-term 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 reports.
Assist with daily cash reconciliation.
Define requirements for 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 various applications.
Participate in system analysis and business/PFS projects, application-module implementations, application enhancements and upgrades, technical-component upgrades, third-party product integrations, 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 tickets and issues 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, ensuring targets are achieved and due dates are met.
Work across business and functional areas to align and implement processes.
Work with project teams to document process flows and recommend workflow optimization.
Support projects focused on PFS assessments, PFS process improvement, and process alignment and implementation.