Revenue Cycle Analyst - Billing/Collections (1.0FTE, Days)
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1.0 FTE, 8 Hour Day Shift
At Stanford Children’s Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.
This paragraph summarizes the general nature, level and purpose of the job.
Reporting to the Director of Revenue Cycle, this position is responsible for implementing, designing, and providing support for all analytics and reporting within revenue cycle functional areas including the extraction and analysis of data impacting the revenue cycle, but not limited to account receivable, bad debt, denials and payer analysis (Medicare, Medi-Cal and Commercial). The role provides analytics support to Faculty Practice Operations (FPO), Packard Children’s Healthcare Alliance (PCHA) and hospital revenue cycle. This includes executive reports (CFO, CRO and PCHA COO), management reports and ad hoc reporting as needed from across the enterprise. Develops dashboards and reports with key performance indicators, metrics, data points, and formulas to support management objectives. Assists revenue cycle leaders in working closely with administrators, physicians and other stakeholders o investigate and design strategic initiatives in order to improve revenue cycle statistics, reporting capabilities and overall performance. Determines how processes can be aligned with best practices to achieve optimal results, measurable change and a quantifiable contribution. The Revenue Cycle Analyst will collaborate with other key functions including Information Technology to ensure effective and efficient processes for optimal revenue cycle outcomes.
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.
Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s).
- Performs analysis required for financial and revenue cycle performance opportunity assessments in order to identify trends, patterns and root causes.
- Assists the development, automation and maintenance of key performance indicators (KPI) and metrics that link strategies to the measurement of performance (financial and non-financial). Provides support in creating and monitoring models that link strategies to KPI in order to ensure successful implementation. Provides analytical support to and develops tools for revenue cycle operations to better detect both current and future performance issues
- Builds comprehensive reporting suite to support the hospital revenue cycle team. Creates and develops reporting/analytics suite for both hospital and physician revenue cycle teams.
- Supports Revenue Cycle Leaders in a consultative capacity in developing business plans, establishing new services, identifying operational benchmarks and completing special projects as needed
- Develops and manipulates large data sets as well as analyzes segments and data groups to assist in the development and implementation of strategies. Utilizes appropriate analytical tools to extract, compile and manipulate data for purposes of analysis. Accurately collects, synthesizes and communicates timely and relevant information to support strategies.
- Extracts and complies data from various system sources to develop sound analyses leading to potential revenue cycle opportunities. Conducts analyses related to charge capture, billing, and/or patient financial services.
- Researches a variety of complex and/or regulatory issues impacting revenue cycle and recommends processes to enhance financial and quality performance while meeting compliance requirements. Explores potential sources of revenue leakage identified by performance indicators and responds with data-driven initiatives to improve net revenue.
- Drives operational/financial improvements that are identified through reporting.
- Creates ad hoc reports as needed and provides ad hoc reporting requests for other constituents outside of the revenue cycle including Finance, Operations, Clinicians (School or Medicine) and others as requested.
- Collaborates with hospital revenue cycle management team, Finance Department, FPO and PCHA revenue cycle leadership to support business decision-making and performance tracking through reporting and analytics.
- Coordinate audit activities to ensure timely submission of clear, organized deliverables for meetings including analyses, summaries, etc.
- Performs research on best practices and national benchmarks in the healthcare industry revenue cycle to assist in standardization of goal setting and performance monitoring
- Participates in special revenue cycle projects such as ICD-10 implementation, Audits Analysis, Compliance Initiatives, Process Standardization, Cost Benefits Analysis and Performance Improvement Initiatives.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Education: Bachelor's degree in a work-related field/discipline from an accredited college or university
Experience: Four (4) years of progressively responsible and directly related work experience including 1 year in the specialty area to which assigned.
Licensure/Certification: None Required
Knowledge, Skills, and Abilities
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.
- Knowledge of business intelligence tools, specifically Business Objects, and other reporting tools
- Knowledge of healthcare, specifically revenue cycle and finance in healthcare. Knowledge and understanding of revenue cycle and complexities of healthcare finance.
- Knowledge of Epic revenue cycle applications and underlying data structures
- Knowledge of computer systems and software used in functional area
- Ability to create and edit reporting and analytics, create recurring reports and build ad hoc reports
- Ability to communicate with various levels of management effectively, both orally and written
- Ability to converse on these topics and identify root cause trends to operational and finance issues
- Ability to create complex reporting across hospital and physician departments
- Skill in the use of various reporting tools including business intelligence reporting tools, MS Access, MS Excel, MS PowerPoint
- Ability to communicate in different modes based on what is most effective for what is being communicated
- Skill in relating reporting and analytics to areas for improvement within healthcare revenue cycle
- Skill in marrying disparate data sources into consolidated, comprehensive reporting
Physical Requirements and Working Conditions
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.
Equal Opportunity Employer
Lucile Packard Children’s Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.