Revenue Cycle Analyst

At Houston Methodist, the Revenue Cycle Analyst position is responsible for facilitating (gathering, trending, reporting, monitoring, analyzing)

data and analytics and various data driven initiatives pertinent to the revenue cycle within the organization, acting as a bridge between the client, stakeholders and assigned team.

The Revenue Cycle Analyst is assigned to projects of intermediate complexity and scope and is responsible for identifying the business needs of clients and stakeholders to optimize reimbursement.

Duties involve producing, analyzing, validating and documenting business, organizational and / or operational requirements.

PEOPLE ESSENTIAL FUNCTIONS

Bridges communication channels between the department, the Business Office, the Single Billing Office (SBO), and other respective stakeholders.

Works closely with the operations teams to identify and eliminate barriers to account resolution that directly impact optimal reimbursement.

Engages customers and acts as liaison between operations and the technical team.

Utilizes revenue cycle knowledge base to meet and develop business intelligence and document business case / scope / plan.

Sets expectations and coordinates team members utilizing teamwork and collaborative skills.

SERVICE ESSENTIAL FUNCTIONS

Participates in various initiatives as a revenue cycle subject matter expert.

Gathers and assimilates data and provides insight to leaders, committees and task forces.

Assists in the development, maintenance, and distribution of ad-hoc reports and financial models as needed.

Analyzes complex data sets to identify trends and variances to support optimal reimbursement.

Communicates complex analytic findings and conclusions in an easy-to-understand manner.

QUALITY / SAFETY ESSENTIAL FUNCTIONS

Extracts data, develops and presents logical and comprehensive analyses and / or summaries on key metrics, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, such as claim submission, insurance and self-pay collections, refunds and write-off approvals.

Performs data analysis on an independent basis and consults with management as necessary.

Performs required testing and quality assurance to ensure solutions delivered are defect free and of high quality.

Ensures the quality and integrity of data collected for decision making and works with the other areas of the organization to ensure consistency as applicable. Ensures information is consistent, accurate, relevant and timely.

FINANCE ESSENTIAL FUNCTIONS

Supports financial strategy and analysis activities including business analysis, financial metrics, and project management.

Utilizes department resources and supplies effectively and practices good time management. Helps minimize excess cost(s) by assisting and recommending solutions in achieving organizational objectives.

GROWTH / INNOVATION ESSENTIAL FUNCTIONS

Continuously seeks new and creative technologies and innovations that help identify and guide improvement opportunities.

Stays current on revenue cycle and industry trends.

Actively engages in personal assessment and expands learning beyond baseline competencies with a focus on continual development (i.e., participates in training opportunities, focal point review activity, etc.).

Applies new learning.

Proactively manages own professional development.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business / job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION

Bachelors degree (preferably in business administration, finance, healthcare administration, or related discipline) or additional four years of experience (in addition to the minimum experience requirements listed below) in lieu of degree

WORK EXPERIENCE

Three years of experience supporting revenue cycle functions

LICENSES AND CERTIFICATIONS - REQUIRED

N / A

KNOWLEDGE, SKILLS, AND ABILITIES

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security

Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles

Ability to complete sophisticated analytical, consultative, and information support through analysis and report preparation

General knowledge of Performance Improvement methodologies

Skill in general use of spreadsheet, database and word-processing software

Ability to independently analyze and solve problems

Interpersonal skills for interfacing with all levels of customers and collaborating across clinical and non-clinical departments

Ability to multi-task with good attention to detail

Ability to enhance reporting effectiveness and efficiency

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

Uniform No

Scrubs No

Business professional Yes

Other (department approved) Yes

ON-CALL

Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

On Call

• No

TRAVEL

Travel specifications may vary by department

May require travel within the Houston Metropolitan area Yes

May require travel outside Houston Metropolitan area No

Company Profile :

Houston Methodist Continuing Care Hospital is a long-term acute care hospital that proudly serves the Greater Houston area, focused on the needs of patients requiring extended hospitalization. Located in Katy, west of the Texas Medical Center, Houston Methodist Continuing Care is committed to providing patients with the Houston Methodist standard of unparalleled quality and safety, focusing on the patient and family. The facility offers both inpatient and outpatient services, including hemodialysis or peritoneal dialysis, infectious disease management, intensive care, pain management, postsurgical complication management, pulmonary care management, trauma and neurological injury management, and outpatient rehabilitation therapies.

Houston Methodist is an Equal Opportunity Employer.