Business Analyst - Financial Revenue - Vancouver Clinic

Must be a resident of WA or OR for this position!

Hiring range is $84,000/yr to $115,000/yr commensurate with experience and professional certifications.

The Business Analyst for Revenue is responsible for developing and reporting pro-active business intelligence to support decision making in contract reimbursement, revenue cycle, and project management. Scanning the financial environment and keeping abreast of changes in the environment that may impact the organization.

ESSENTIAL FUNCTIONS

• Perform and assist with quantitative and qualitative analysis.
• Build contract model and assist underpayment team to detect system problems and recommend viable solutions, interim alternatives, and documentation of processing irregularities.
• Review and audit claim payments to ensure payor contract implementation is correct.
• Maintains and ensures the overall integrity of the CDM (Charge Master) with a focus on accuracy, revenue cycle integrity, and compliance with payor requirements. This includes overseeing routine monthly audits of the CDM.
• Maintains pricing changes at beginning of fiscal year and as dictated by circumstances.
• Maintain a working knowledge of revenue cycle processes to provide consultation on design of business processes, specifying the needed output, the required input and the methods of validation and quality control for compliance with billing guidelines.
• Develop an in-depth understanding of various components of medical revenue, and the impact of those on reported financial statements including budget modeling.
• Responsible for the annual budget figures in regard to fee schedules, proposed pricing analysis, payor contractual allowances, and CMS proposed fee schedule updates.
• Finds pricing and payor contracting opportunities to positively impact the bottom line.
• Analyzes and interprets payor risk contract Cost & Utilization reports to advise on trends, and perform routine audits on payor risk contract reporting and settlements.

EDUCATION AND EXPERIENCE:

• Bachelor's degree in Accounting, Finance, Business Analytics, Healthcare Administration or other healthcare related field.
• Revenue Management experience required.
• Medical Billing knowledge necessary. CPC preferred or similar coding certification, as well as 3+ years' experience in Revenue Cycle processes.
• Financial or Revenue Analyst experience demonstrating strong financial modeling and data analysis skills required.
• Ability to create and perform presentations to all levels of the organization with clarity.
• Certifications desired in the following Epic applications: Resolute PB, Cogito Revenue Data Model or Cogito Fundamentals.

Pay Range:
$83,795.00 - $125,692.00

The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, with employer contributions after your first year of employment. Benefits-eligible employees accrue PTO and Personal Time based on hours worked and State worked, totaling 120 hours in the first year for full time staff and 200 hours in the first year for full time supervisors and above, increasing in subsequent years. PTO and Personal Time accruals are pro-rated by FTE/hours worked. Non-benefits eligible employees will accrue Personal Time based on hours worked and State worked. Employees will also enjoy up to six paid holidays per year, depending on schedule. Contact your recruiter for more information.

Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.