Financial Analyst - Hospital Revenue Cycle - MD Anderson
Houston, TX
About the Job
M ission Statement
The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public.
Summary
The primary purpose of the financial analyst position is to provide accounting and analytical duties for the PBS revenue cycle, which consists of billing, collections, customer service, denials management, etc. for all payors. Primary focus would be on contract precision and independent dispute resolution process. Responsibilities include preparation of monthly contract precision reports, analytical reviews and trend analysis, continual monitoring of AR and communications with appropriate parties. Identifies potential problems and presents proactive solutions to enhance collections and streamline processes. Responsible for the overall activities of the independent dispute resolution process. Submitting claims that qualify, communicating with plans through informal negotiations, scheduling mediations for management, and communicating with all parties timely. Creates, maintains and communicates relevant information regarding the AR that is outstanding due to contract precision results.
Key Functions
1. Prepares and distributes monthly financial management reports related to revenue cycle, with focus on contract precision and independent dispute resolution claims.
2. Maintains schedule of payor review for contract precision. Communicating findings to management and compiling data to submit to payor for review.
3. Works with payor representatives to resolve any inquiries on the data and to follow-up on status of payment
4. Communicates findings to management to assist in developing recommendations for capture of variances
5. Responsible for maintaining data for the Texas Department of Insurance Independent Dispute Resolution claim submission with updated status on each claim
6. Ensures deadlines are met for each step in the Texas Department of Insurance Independent Dispute Resolution process
7. Prepares summaries of each claim that goes to mediation for Legal Services and PBS management for memo preparation
8. Assists with scheduling mediations and communicating with payor representatives
9. Creates monthly report of status of each claim with amount recovered and amount applied to No Surprises Act adjustment
10. Prepares documentation for internal audit or institutional compliance as requested
11. Performs quality assurance reviews of RPA tool for contract precision
12. Assists with AR projects to enhance operational efficiencies.
13. Other duties as assigned
Working Conditions
Physical Demands
Indicate the time required to do each of the following physical demands:
Required Education:
Bachelor's degree in Business Administration or related business specialty.
Required Experience:
Two years business experience to include project management, data analysis or accounting.
Preferred Experience:
Hospital Revenue Cycle experience, strong analytical skills, strong Excel skills, strong verbal and written communication skills.
Preferred Work location:
This position is remote. Searching for candidates in the Houston area.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
Additional Information
#LI-Remote
The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public.
Summary
The primary purpose of the financial analyst position is to provide accounting and analytical duties for the PBS revenue cycle, which consists of billing, collections, customer service, denials management, etc. for all payors. Primary focus would be on contract precision and independent dispute resolution process. Responsibilities include preparation of monthly contract precision reports, analytical reviews and trend analysis, continual monitoring of AR and communications with appropriate parties. Identifies potential problems and presents proactive solutions to enhance collections and streamline processes. Responsible for the overall activities of the independent dispute resolution process. Submitting claims that qualify, communicating with plans through informal negotiations, scheduling mediations for management, and communicating with all parties timely. Creates, maintains and communicates relevant information regarding the AR that is outstanding due to contract precision results.
Key Functions
1. Prepares and distributes monthly financial management reports related to revenue cycle, with focus on contract precision and independent dispute resolution claims.
2. Maintains schedule of payor review for contract precision. Communicating findings to management and compiling data to submit to payor for review.
3. Works with payor representatives to resolve any inquiries on the data and to follow-up on status of payment
4. Communicates findings to management to assist in developing recommendations for capture of variances
5. Responsible for maintaining data for the Texas Department of Insurance Independent Dispute Resolution claim submission with updated status on each claim
6. Ensures deadlines are met for each step in the Texas Department of Insurance Independent Dispute Resolution process
7. Prepares summaries of each claim that goes to mediation for Legal Services and PBS management for memo preparation
8. Assists with scheduling mediations and communicating with payor representatives
9. Creates monthly report of status of each claim with amount recovered and amount applied to No Surprises Act adjustment
10. Prepares documentation for internal audit or institutional compliance as requested
11. Performs quality assurance reviews of RPA tool for contract precision
12. Assists with AR projects to enhance operational efficiencies.
13. Other duties as assigned
Working Conditions
| This position requires: | | | |
| | Working in Office Environment | ______ No | ___ X __ Yes |
| | Working in Patient Care Unit (e.g. Nursing unit; outpatient clinic) | __ X __ No | ______ Yes |
| | Exposure to human/animal blood, body fluids, or tissues | __ X __ No | ______ Yes |
| | Exposure to harmful chemicals | __ X __ No | ______ Yes |
| | Exposure to radiation | __ X __ No | ______ Yes |
| | Exposure to animals | __ X __ No | ______ Yes |
Physical Demands
Indicate the time required to do each of the following physical demands:
| | Time Spent | ||||
| Never 0% | Occasionally 1-33% | Frequently 34-66% | Continuously 67-100% | ||
| Standing | | X | | | |
| Walking | | X | | | |
| Sitting | | | | X | |
| Reaching | | X | | | |
| Lifting/Carrying | |||||
| | Up to 10 lbs | | X | | |
| | 10lbs to 50 lbs | | X | | |
| | More than 50 lbs | X | | | |
| Pushing/Pulling | |||||
| | Up to 10 lbs | | X | | |
| | 10lbs to 50 lbs | | X | | |
| | More than 50 lbs | X | | | |
| Use computer/keyboard | | | | X | |
Required Education:
Bachelor's degree in Business Administration or related business specialty.
Required Experience:
Two years business experience to include project management, data analysis or accounting.
Preferred Experience:
Hospital Revenue Cycle experience, strong analytical skills, strong Excel skills, strong verbal and written communication skills.
Preferred Work location:
This position is remote. Searching for candidates in the Houston area.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
Additional Information
- Requisition ID: 168123
- Employment Status: Full-Time
- Employee Status: Regular
- Work Week: Days
- Minimum Salary: US Dollar (USD) 66,000
- Midpoint Salary: US Dollar (USD) 82,500
- Maximum Salary : US Dollar (USD) 99,000
- FLSA: exempt and not eligible for overtime pay
- Fund Type: Hard
- Work Location: Remote (within Texas only)
- Pivotal Position: No
- Referral Bonus Available?: No
- Relocation Assistance Available?: No
- Science Jobs: No
#LI-Remote
Source : MD Anderson