System Revenue Analyst- Managed Care

Huntsville Hospital Health System•Huntsville (Cochran Center), AL

About The Position

Under the general supervision of the Director Payer Contracting and Analytics and Revenue Manager, the System Revenue Analyst supports the objectives of the Revenue Cycle, Finance, Administration, and Clinical Departments across Huntsville Hospital Health System facilities and providers. The role covers data analysis, charge capture, process improvement, project management, reimbursement analysis, managed care support, KPI reporting, financial analysis, and staff education for specific service lines and supporting revenue centers. The analyst works with Revenue Cycle stakeholders, including Finance and Administration, to understand clinical and billing processes, identify and improve processes for capturing all charges and billing for services provided, educate and communicate with staff, audit and report process outcomes, and use internal and external resources to achieve and sustain improvements. The role is expected to independently lead projects and deliver measurable, sustained outcomes. Using national best practices, the analyst proactively implements and supports the Health System’s revenue improvements.

Requirements

  • Bachelor’s degree in Business Administration, Health Administration, or a comparable field; comparable combinations of education and experience may be considered in lieu of a degree.
  • Experience working with patient accounting, case management, internal audit, coding, and/or process improvement.
  • Knowledge of clinical and financial processes within a hospital-based healthcare system.
  • Ability to connect clinical and patient financial data to improve outcomes.
  • Clear and effective communication skills.
  • Working knowledge of medical terminology, coding, and healthcare billing guidelines.
  • Knowledge of auditing, project management, and process improvement techniques.
  • Ability to use Word, Excel, PowerPoint, Access, and work within a networked IT system.

Nice To Haves

  • Bachelor’s degree in Accounting, Finance, or a Business field; comparable combinations of education and experience will be considered.

Responsibilities

  • Analyze data and support charge capture, process improvement, project management, reimbursement analysis, managed care, KPI reporting, and financial analysis.
  • Provide support and education to specific service lines and supporting departments (revenue centers) across the Health System.
  • Work with Revenue Cycle stakeholders, including Finance and Administration, to understand clinical and billing processes.
  • Identify and improve processes to ensure charges are captured and services provided are billed.
  • Educate and communicate with staff about processes.
  • Audit processes and report outcomes.
  • Use internal and external resources to achieve and sustain improvements.
  • Independently lead projects and produce measurable, sustained outcomes.
  • Proactively implement and support Health System revenue improvements using national best practices.
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