Professional Billing Analyst - Shared Service Center - Boston Children's Hospital

The Shared Service Center’s Physician Services Team is responsible for communicating its revenue cycle activities and performance to individual practice departments within Boston Children's Hospital Physician’s Org.  Our team focuses on partnering with each department to understand their goals, challenges, and key practice drivers.  Activities include establishing and maintaining Foundation relationships that focus on KPI’s, managing effective ongoing communication regarding RCM workflow issues, and identifying areas for financial performance improvement. 

This Professional Billing Analyst will be responsible to:

• Support the Physician Services team with the production, download, analysis and preparation of data needed recurring monthly, quarterly and fiscal-year RCM/Billing Performance results reporting to department leadership.
• Provide ad-hoc data analysis to support the Physician Services team using data to identify trends and potential workflow, efficiency, accuracy, reimbursement, and overall revenue cycle performance enhancing opportunities.
• Perform “claim level” root cause analyses to understand and identify payment trends and challenges.
• Keep abreast of changes in payer billing requirements that could potentially impact various foundation specialties’ financial performance.
• Work closely across the Shared Service Center with manager, peers, and leadership sharing critical information and statistical data, while developing procedures for operational improvement on a recurring basis.
• Utilize appropriate analytical tools to extract, compile and manipulate data for purposes of analysis. Present data in a clear, organized manner. Document sources, specs, and assumptions for all analyses for future reference.
• Maintain data integrity when manipulating data files for purposes of analysis. Ensure data does not become corrupted in any way when performing analyses, through conscientious use of tools and a system of checks and balances.
• Check results of queries and reports to ensure it meets with expectations before presenting finalized information. Run data multiple ways when necessary to ensure accuracy of results.

To qualify, you must have:

• A Bachelor's degree in HealthCare or Business Administration, Accounting, Finance or closely related field is required or relative experience. 
• A minimum of 4 years of relevant, Physician-billing focused, revenue cycle management experience, preferably in a teaching or other hospital network is required
• A strong aptitude for creating and analyzing reports using a diversity of analytics platforms, Microsoft Excel, and PowerPoint
• A detailed understanding of professional billing and the healthcare revenue cycle as a whole
• This is a hybrid/remote role and location is Westwood, MA

Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

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