Beth Israel Deaconess Medical Center RCO Business Analyst in Boston, Massachusetts
RCO Business Analyst
Job LocationBoston, Massachusetts
Req ID 18511BR
Department Description: nullJob Location: Boston, MAReq ID: 18511BRJob Summary: The RCO Business Analyst is responsible for the full range of discerning critical functions: review and interpretation of payment and denial data, identification of trends, risks, and opportunities for operational improvement and revenue enhancement. Essential to this position is the responsibility to produce, enhance, and use the reports pertaining to the daily operation of Patient Financial and Patient Access services to maintain and improve the fiscal stability of BIDMC.
Designs and maintains tables and databases associated with Patient Financial Services applications such as casemix. Assures that documentation is complete and accurate and consistent with the medical centers policies and procedures.
The business analyst is responsible to parse all aggregate data into customized operational segments to use as tools to manage the AR, identify risks in advance, ascertain root cause, create solutions, reduce aging, prevent backlogs and maximize revenue.
Creates management dashboard to conduct continuous analysis of data and prepare timely reports. Collaborates with Revenue Cycle Operations directors and supervisors as well as the programming areas to design new reports and enhance existing reports from multiple systems to improve workflow processes and efficiencies.
Maintains and distributes operational reports to management, staff, hospital partners and vendors as needed. Compiles statistics necessary to monitor productivity and progress toward the achievement of departmental goals. Prepares annual and periodic projections and re-forecast net revenue as needed.
Assists with the analysis of data, and makes recommendations for improvement. On a systematic basis, analyzes the information in the department's pre-bill, coding rejection and denial edit databases for unresolved third party claims to determine root causes for the edit issues and potential resolution with the originating departments and/or the PFS clinical coding staff.
High School diploma or GED required. Bachelor's degree preferred.
1-3 years related work experience required.
Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.
- 3 -5 years Healthcare related experience.
Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.
Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
Physical Nature of the Job:
Light work: Exerting up to 20 pounds of force frequently to move objects. Some elements of the job are sedentary, but the employee will be required to stand for periods of time or move through out the hospital campus