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St. Mary's Medical Center - Huntington, WV · 4 months ago

Financial Systems Technical Analyst

Huntington, WV

Full-time

Hybrid

Senior Level

St. Mary's Medical Center is seeking a Senior-Level Financial Systems Technical Analyst to plan, design, build, and implement EMR/EHR financial information systems. This role requires advanced technical expertise in financial systems, specifically Soarian Financials, and involves leading projects to enhance revenue cycle operations and ensure compliance with healthcare regulations.

Hospital & Health Care

Responsibilities

Gather requirements and functional specifications, assess current-state/provide recommendations for future-state functionality to develop and maintain Revenue Cycle systems focusing on Enterprise and Best-Practice standards for processing and handling of the Healthcare Revenue Cycle functions such as Insurance Claims Processing or Charge structure to achieve desired outcomes

Ensure all rules and workflows comply with healthcare regulations (e.g.: The Joint Commission, CMS), payer requirements, and organizational policies (e.g.: Change Control process)

Ensure seamless integration of Soarian Financials with other healthcare information systems and financial applications

Identify and implement system enhancements and process improvements to increase efficiency and reduce errors in charging, claims processing and remittance management

Conduct regular audits and quality assurance checks to ensure accuracy and effectiveness in revenue cycle processing and remittance and reimbursement management

Provide advanced technical support for revenue cycle and claims/remittance processing rules

Daily work to help diagnose and resolve complex system issues, ensuring minimal disruption to operations

Work closely with revenue cycle management teams, billing departments, and IT staff to understand needs and translate them into effective system rules

Collaborate with vendors and external partners to implement and test new rules and system updates

Develop and maintain comprehensive documentation for all rules and workflows within Soarian Financials. Maintain technical documentation based on standard operating procedures in support of the project repository and operations expectations

Train end-users and technical staff on new rules and system functionalities

Develop system test scripts, plan, and coordinate system testing and validation regularly as necessary for system patches and upgrades to ensure quality and functionality

Builds and maintains relationships with software and support vendors to ensure system issues are documented and addressed by the vendor in a timely manner

Plans, Designs and Provides Leadership in implementation/upgrade/migration projects as required. Provides system process knowledge, perform configuration tasks, write/run reports, and other tasks in support of the project team as assigned

Promotes the use of best practices of application system in the user community and with department managers

Completes goals assigned by applications directors, managers, or supervisors

Maintains confidentiality of information encountered in support of application systems as outline in the Health Insurance Portability and Accountability Act (HIPAA)

Continuously transforming system to enhance customer experience

Interact with Information Services Analysts during the software build or configuration and the unit testing process through go-live and post-live support

Work in collaboration with Business and Testing Team analysts for system and integration test execution for all required workflow and supporting functionality

Identify the common causes of the defects, prioritize them and systematically remove them in further development work. Possess technical knowledge of Soarian Financials and functions that support all workflows

Be part of the 24x7 support of the Soarian Financials applications and help troubleshoot problems when they surface

Actively monitors assigned Service Now (SNOW) support tickets, providing regular updates, and resolving issues in a timely manner, in accordance with established SLA’s and provides end-user communication/training/support as appropriate

Follows organizational Change Control procedures

Coordinate with Project Managers to ensure project deadlines are met

Strives to be the best; stretches own capabilities to continuously improve. Sets a positive example for others

Qualification

Soarian FinancialsRevenue Cycle ManagementDatabase CodingEMR IntegrationClaims ProcessingDenial ManagementScriptingLeadershipDocumentationCollaboration

Required

Advanced patient financial systems skills (for example, database coding and scripting skills to help with claim modifications, statement customizations, creation of custom rules, denial management, charge tiering, charge building and troubleshooting, etc.)

Deep technical expertise in Soarian Financials system functionality and its underlying database and master files

Extensive knowledge of revenue cycle management

EMR (e.g., Cerner Millenium) integration with revenue cycle

Strong background in claims processing, denials and remittance management and bill scrubber solutions

Charge tiering, charge structure build and management

Master file maintenance

Rules build and optimization (CRDT, BRDT, etc.) and scripting

Gather requirements and functional specifications

Assess current-state/provide recommendations for future-state functionality

Ensure all rules and workflows comply with healthcare regulations (e.g.: The Joint Commission, CMS), payer requirements, and organizational policies

Ensure seamless integration of Soarian Financials with other healthcare information systems and financial applications

Identify and implement system enhancements and process improvements

Conduct regular audits and quality assurance checks

Provide advanced technical support for revenue cycle and claims/remittance processing rules

Daily work to help diagnose and resolve complex system issues

Work closely with revenue cycle management teams, billing departments, and IT staff

Collaborate with vendors and external partners

Develop and maintain comprehensive documentation for all rules and workflows within Soarian Financials

Train end-users and technical staff on new rules and system functionalities

Develop system test scripts, plan, and coordinate system testing and validation

Builds and maintains relationships with software and support vendors

Plans, Designs and Provides Leadership in implementation/upgrade/migration projects

Completes goals assigned by applications directors, managers, or supervisors

Maintains confidentiality of information encountered in support of application systems as outline in the Health Insurance Portability and Accountability Act (HIPAA)

Continuously transforming system to enhance customer experience

Interact with Information Services Analysts during the software build or configuration

Work in collaboration with Business and Testing Team analysts for system and integration test execution

Identify the common causes of the defects, prioritize them and systematically remove them

Be part of the 24x7 support of the Soarian Financials applications

Actively monitors assigned Service Now (SNOW) support tickets

Follows organizational Change Control procedures

Coordinate with Project Managers to ensure project deadlines are met

Strives to be the best; stretches own capabilities to continuously improve