Cedars-Sinai · 18 hours ago
Financial Business Systems Analyst - Revenue Cycle (Remote)
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Responsibilities
Automate reports and write ad-hoc reports based on the available data.
Analyze process and data flows from other system(s) to ensure timely, accurate and consistent data transfer.
Find opportunities to streamline processes and improve operational efficiency.
Assist in the design and implementation of new systems or software solutions.
Maintain reports and dashboards for revenue cycle performance tracking.
Conduct system testing to ensure functionality and reliability.
Work closely with cross-functional teams, including finance, information services, and operations, to ensure alignment on revenue cycle initiatives.
Monitor and analyze claims data sent to the clearinghouse, including resolution of discrepancies in claim submissions.
Ensure accurate data submission and resolve discrepancies in claim submissions.
Maintain interim claim billing profile.
Generate regular reports on claims status, rejections, and payments for partners.
Address inquiries and provide support regarding claims processing and clearinghouse operations.
Implement corrective actions for any identified issues in the claims process.
Conduct regular audits of claims data to ensure accuracy and compliance.
Manage specific Payer Revenue Management (PRM) Claim Edit work queues (WQs) and WQ maintenance.
Submit tickets for new edit or claim form requests.
Maintain late charge profile.
Qualification
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Required
High school diploma or GED required.
A minimum of 5 years’ experience in managing healthcare revenue cycle system and software, system analysis or data processing activities.
Preferred
Bachelor’s degree in computer science, management information systems (MISD) business or another related field preferred.
A minimum of 5 years of Epic Revenue Cycle applications and clearinghouse experience preferred.
Benefits
Paid time off
Great healthcare
403(b)
Competitive salaries
Health and dental insurance
Company
Cedars-Sinai
Since its beginning in 1902, Cedars-Sinai has evolved to meet the healthcare needs of one of the most diverse regions in the nation, continually setting new standards for quality and innovation in patient care, research, teaching and community service.
Funding
Current Stage
Late StageTotal Funding
$63.31MKey Investors
American Academy of Orthopaedic SurgeonsCalifornia HealthCare FoundationNational Heart, Lung and Blood Institute
2023-12-01Grant· $0.01M
2023-05-25Grant· $28M
2022-06-16Grant· $7M
Recent News
2024-12-02
2024-11-24
2024-11-24
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