Senior Business Analyst - Financial Revenue - Vancouver Clinic

The Senior Business Analyst for Revenue is responsible for developing and reporting pro-active business intelligence to support decision making in contract reimbursement, revenue cycle, budget, and project management. This is a lead analyst role mentoring peers, interpreting and educating on healthcare industry reimbursement forecasts, and scanning of the financial environment to keep abreast of changes that may impact the organization.

Hiring range for this position is $94,000/yr to $129,000/yr. Placement in the range is dependent on professional qualifications and experience.

EDUCATION AND EXPERIENCE:

• Bachelor's degree in Accounting, Finance, Business Analytics, Healthcare Administration or other healthcare related field.
• Medical Billing knowledge required. CPC preferred or similar coding certification.
• 5+ years' experience in Revenue Cycle processes required.
• Revenue management experience required.
• Financial or Revenue Analyst experience demonstrating strong financial modeling and data analysis skills including revenue budget variance analysis with a thorough understanding of revenue budget drivers.
• Technical aptitude and advanced experience with data tools, such as SQL and Tableau. SQL queries experience preferred
• Certifications desired in the following Epic applications: Resolute PB, Cogito Revenue Data Model or Cogito Fundamentals.
• Must achieve certification in at least one Epic application within first 2 years of employment.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• 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.
• Display in-depth knowledge 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 application of Federal Regulatory CMS proposed fee schedule and reimbursement 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.

Pay Range:
$93,850.00 - $140,775.00

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.