Referral and Clinical Authorization Analyst

Overview

The Referrals and Clinical Authorizations Analyst is responsible for the overall effectiveness and accuracy of data collection, reporting, and analysis needed to support the Access Management Department and other peripheral departments influenced by such financial activity.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

PRIMARY DUTIES AND RESPONSIBILITIES:

• Field and prioritizes all data, reporting, and analysis requests.
• Manage requests by identifying appropriate systems and steps needed for timely completion.
• Produce and maintain necessary reporting tools, i.e., denial management reports, financial report cards, productivity dashboards, and quality monitoring reports.
• Facilitate data capture, reporting, analysis, and storage.
• Develop data sets to identify trends, opportunities, and errors throughout the revenue cycle.
• Facilitate communication and understanding of key performance indicators.
• Design and develop appropriate benchmarking dashboards and tools.
• Support department leadership decision-making (e.g., staffing, performance) through quantitative models and ad hoc reports.
• Create and maintain project management tools to support department Leadership on special projects.
• Perform other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

• Knowledge of revenue cycle operations as well as basic payer requirements, managed care policies, and medical terminology.
• Knowledge of Epic or other hospital information systems.
• Strong customer service and communication skills, both written and verbal.
• Good judgment, tact, and sensitivity.
• Analytical, problem-solving and research skills.

• Project/task management skills.
• Relationship building skills with ability to collaborate.
• Technical savvy and knowledge of analytical tools, particularly Microsoft Office.
• Ability to work independently as well as on a team, and as a trainer/facilitator with leadership abilities.
• Ability to prioritize work and meet pre-determined deadlines.
• Ability to work with sensitive patient information and maintain confidentiality.

MINIMUM JOB QUALIFICATIONS:

Minimum Education :
Bachelor’s degree required.

Minimum Experience :
2 years of relevant work experience required. Experience with various software applications, including Microsoft Office (Access, Power Point, Project, Word, and Excel), Business Objects, or Oracle preferred. Experience with revenue cycle systems, technology, and relevant applications preferred.

Certification/Licensure/Registration :
None

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.

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Pay Transparency Statement

The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications.

For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA).

$54,100.00 - $57,200.00