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Revenue Management Analyst (Clinical Applications Professional 4)

University of California Davis

Details

Posted:

April 2, 2021

Location:

Sacramento, California

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Salary:

Open

Type:

Full-time

Revenue Management Analyst (Clinical Applications Professional 4)

Department Description

The Health Information Management Department strives to achieve the highest level of customer satisfaction by providing a well-documented, accurate, timely record of medical care for continuing patient care, research, teaching and community service.

Job Summary
Final Filing Date : April 20, 2021
Salary Range : $6,608.33 - $14,808.33 (Grade 25)
Salary Frequency : Monthly
Appointment Type : Career
Percentage of Time : 100%
Shift Hour : 8 hours
Location : Armstrong Building
City : Mather, CA
Union Representation : No
Benefits Eligible : Yes

We offer exceptional employment benefits including medical, dental, and vision plans, generous paid vacations and holidays, excellent retirement savings and investment plans, continuing education, and reduced fee and scholarship programs.

THIS IS NOT AN H1- B OPPORTUNITY

Responsibilities
The Revenue Management Analyst will be part of the Finance Division, Patient Revenue - Revenue Integrity & Health Information Management Enterprise Services team and responsible for interpreting and monitoring enterprise-wide integrated applications. The individual will serve as a subject matter expert for all health system Revenue Management activity. This person should be an expert in Revenue Management, focusing on revenue timeliness, reconciliation, and reporting. Also, this individual will serve as liaison and as subject matter expert for other Revenue Integrity domains and work with other Revenue Cycle departments and our vendor systems and support. This individual will work with department administrators, cross-functional workgroups, Information Technology project management, and outside vendors and consulting services to ensure optimization, revenue integrity, and maximization. This position is also responsible for providing system process support, problem resolution, project management, analytical, research, and statistical support to the billing process in revenue integrity and contract management. Responsible for aiding in maintaining systems, processes, and workflows for the timely and accurate recording of hospital/professional revenue regarding charge capture.

A technical leader with a high degree of knowledge in the broad field and recognized expertise in specific areas; problem-solving frequently requires analysis of unique issues/problems without precedent and structure. Works with internal and external departments to formulate strategies, administer policies, processes, and resources, functions with a high degree of autonomy. Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting, and support. Impacts processes to include charge capture, documentation and coding, data entry, billing, and contract management. Provides expert analysis and reporting of revenue performance; act as a department liaison for Revenue Monitoring; identification and tracking of revenue issues in partnership with other Revenue Integrity Domains, significantly Charge Capture, to maximize revenue and increase efficiency. This position's primary functions are analysis, system/process development, problem resolution, and workflow oversight. This position requires an expert level of operations and contract knowledge, a high level of independence and creativity, advanced analytical skills and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems in revenue cycle program areas, to identify weaknesses and develop innovative solutions and process improvements, sound judgment, as well as organizational and priority setting abilities.

Required Qualifications

Bachelor's Degree in Health Care Information Technology, Computer Science, or related area, and/or equivalent combination of experience/training.
Experience working with revenue cycle information systems or system implementation teams for complex projects, application development, and support.
Experience working with healthcare information systems.
Technical knowledge of all revenue generation sources, including CDM, Charge Capture, CDI, Coding, and all other related areas.
Expert knowledge of and demonstrated skill with various spreadsheet and software applications including Microsoft Excel and Word, Clearinghouse, Contract Management, and Patient Accounting Systems.
In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual terms, third-party reimbursements, and cash management.
Knowledge of significant healthcare trends and issues that affect physicians, hospitals, and academic health centers.
Knowledge of Health System methods, policies, and procedures.
In-depth understanding of the issues, processes, reporting instruments, metrics, dashboard design, and other tools and techniques involved with measuring and analyzing the revenue cycle.
Knowledge and skill in working with committees and user groups to facilitate group decision-making.
Advanced organizational and project management skills and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
Advanced communications skills to interpret and convey complex clinical finance information in a clear, concise manner.
Advanced skills in report development and various software tools specific to healthcare revenue cycle management.
Skills in a common database, spreadsheet, and presentation software.
Advanced interpersonal skills, with the ability to collaborate effectively on highly complex projects in a team environment with various business and clinical areas.
Writing skills to compose correspondence to parties outside the department and sufficiently communicate to other units within the department.
Math skills to accurately add, subtract, multiply and divide.
Reading skills to understand department policy and to read correspondence from within and outside the business office.
Typing skills sufficient to operate computer terminal, prepare correspondence for both within and outside the department.
Strong ability to advise management, serving as a technical expert, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management.
Ability to interpret a large volume of data and report it in a concise, meaningful manner.
Ability to prepare compelling and informative reports and presentations to all levels of staff and management.
Ability to work accurately and quickly under pressure to meet deadlines set by the department, government programs, or private insurance carriers.
Ability to review the work product of departmental employees and report findings.
Ability to react with flexibility and patience and maintain efficiency and accuracy under sustained and immediate pressure created by a heavy workload, frequent interruptions, and multiple, sometimes competing requests.
Ability to work cooperatively and constructively with employees and Administration.
Ability to develop evaluation criteria for improving departmental activities/programs.
Ability to develop reports or correspondence as required.
Ability to use billing codes, including CPT, HCPCS, Revenue Codes and ICD-10.
Develops and implements changes to systems, policies, and procedures to maintain currency in government regulations, reimbursement issues, and other matters having a potential financial impact.
Demonstrates professionalism, tact, courtesy, and diplomacy in dealing with personnel at all levels outside the health system.

Preferred Qualifications

Experience working with interfaced/integrated multi-vendor applications.
Knowledge of Huron reporting tools and reporting capabilities.
Knowledge of Epic billing system, particularly essential functions, database structure, and reporting capabilities.
Academic institution or large integrated health system.

Special Requirements

Must be able to work occasional overtime and/or flexible hours as needed.

This position may be subject to a criminal background investigation, drug screen, Live Scan fingerprinting, medical evaluation clearance, and functional capacity assessment.

EEO
The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

To apply, visit https://careerspub.universityofcalifornia.edu/psp/ucdmed/EMPLOYEE/HRMS/c/HRS_HRAM.HRS_APP_SCHJOB.GBL?Page=HRS_APP_JBPST&Action=U&FOCUS=Applicant&SiteId=5&JobOpeningId=16631&PostingSeq=1

The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

Internal Number: 2206925

About University of California Davis

UC Davis is the home of the Aggies — go-getters, change makers and problem solvers who make their mark at one of the top public universities in the United States. Since we first opened in 1908, we’ve been known for standout academics, sustainability and Aggie Pride as well as valuing the Northern California lifestyle. These themes are woven into our 100-plus-year history and our reputation for solving problems related to food, health, the environment and society.Our 5,300-acre campus is in the city of Davis, a vibrant college town of about 68,000 located in Yolo County. The state capital is 20 minutes away, and world-class destinations such as the San Francisco Bay Area, Lake Tahoe and the Napa Valley are within a two-hour drive.

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Revenue Management Analyst (Clinical Applications Professional 4)

University of California Davis

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