Analyst, Professional Billing

Analyst, Professional Billing | Boston Childrens Hospital

Position Summary Develops and maintains an environment of customer service, continued learning and increased communication within the PO and hospital departments by coordinating revenue cycle policies, practices, identifying issues, trends, and provide solutions through analytic and administrative tools to meet business needs. Serves as primary analytic point of contact for Service Line Directors, Managers, Finance Directors, clinical support staff, physicians, allied health care providers, hospital colleagues and others regarding matters that relate to aspects of professional revenue. Key Responsibilities • Provides operational supervision of the functional areas, including understanding, monitoring and improving work-flow and processes within multiple PO functions/areas, monitoring staff schedules, assisting on day to day problem resolution and troubleshooting. Assures that staff accomplishes all assigned tasks in an efficient and timely manner. • Responsibilities are performed independently within established department policies and procedures, this position is responsible for improving revenue cycle workflow, efficiency, accuracy, reimbursement, and overall revenue control through operational and system enhancements and/or modifications. • Works closely with department heads, other hospital personnel and executives for the purposes of information gathering to enhance revenue cycle opportunities. Seeks opportunities to gather information or knowledge from others outside of the department. • Works closely across enterprise with manager, peers, and leadership sharing critical information and statistical data, while developing procedures for operational improvement on a recurring basis. • Extracts and complies data from various system sources to develop sound analyses leading to potential revenue cycle opportunities, conducting analyses related to CDM setup, charge capture, billing, and/or collections. Understands end goal of analysis, as a means to project data needs and requirements for timely and appropriate issue escalation or resolution. • Utilizes appropriate analytical tools to extract, compile and manipulate data for purposes of analysis. Presents data in a clear, organized manner. Documents sources, specs, and assumptions for all analyses for future reference. • Maintains data integrity when manipulating data files for purposes of analysis. Ensures data does not become corrupted in any way when performing analyses, through conscientious use of tools and a system of checks and balances. • Checks results of queries and reports to ensure it meets with expectations before presenting finalized information. Runs data multiple ways when necessary to ensure accuracy of results Education

• Bachelor's Degree or equivalent experience

Experience

• Minimum of 4 years' related Physician Billing work experience with a primary role relative to Technology, Operations, or Finance