Halifax Health is seeking a Business Analyst I (Revenue Cycle) for our Patient Business and Financial Services (PBFS) Department.
Through the review of operational functions, will perform tasks related to the revenue cycle and Physician Services support and acts as a liaison between Athena, staff, and leadership. Will also perform root cause analysis for denials, charge entry lags, claim holds and aged AR. This includes the review of interface errors, maintenance of the fee schedule, provider and department set-up, development of training materials, operational reporting, and creation of workflows.
Bachelor's degree in Finance, Business, Health Services Administration, Health Information Management or relevant degree required.
HBI or HFMA credential required (must be completed within six months of hire)
Two years of healthcare, business or analytical experience required
Customer-service oriented; able to effectively communicate and build relationships with staff members at all levels in the organization
Able to manage multiple projects
Proficiency in creating training materials and documentation
Ability to transfer knowledge to clients with diverse cultural backgrounds, educational experiences, and learning styles
Team oriented work ethic
Understands intermediate to advanced Microsoft Excel functions
Job Duties and Responsibilities
Review interface errors, claim holds, denials, zero payment adjustments to identify coding, authorization, data entry issues and assists with the coordination of an action plan with managers to include coding education when applicable.
Supports Physician Services and works with leadership to disseminate information that will assist and improve revenue cycle performance.
Assist with reporting operational KPIs, financial metrics and other measures.
Provide solutions regarding issues with data analytics.
Assist with pricing and updating the fee schedule.
Responsible for running and producing recurring reports.
Work with Internal Audit, office/hospital based managers and PBFS staff and leaders utilizing dashboard statistics to ensure all charges are captured accurately and timely.
Assist with the standardization of knowledge management materials to include computer-based learning programs, manuals and other content as needed.
Assist with testing of new system functionality to learn and help implement associated training programs.
Assist with the development and periodic review of educational documents to ensure that materials are up-to-date and meet the objectives of the assigned business units.
Receive and evaluate feedback for the purpose of identifying training opportunities and ongoing improvements to existing educational materials.
Assist with the resolution of issues that arise between PBFS and office staff.
Responsible for understanding the impact of system projects and policy and procedure changes.
Represent PBFS in relevant meetings and/or committees and participate in planning for future training needs.
Promote and adhere to departmental and organizational information, security policies, standards and procedures.
Assist with charge entry and claim corrections.
Perform other related duties as required.
Recognized by The Joint Commission as a Top Performer on Key Quality Measures, Halifax Health serves Volusia and Flagler counties, providing a continuum of healthcare services through a network of organizations including a tertiary hospital, community hospital, psychiatric services, a cancer treatment center with four outreach locations, the area's largest hospice, a center for inpatient rehabilitation, primary care walk-in clinics, a walk-in clinic specializing in women's health, two community clinics, three children's medical practices, a home healthcare agency, and an exclusive provider organization. Halifax Health offers the area's only Level II Trauma Center, Comprehensive Stroke Center, Pediatric Intensive Care Unit, Pediatric Emergency Department, Child and Adolescent Behavioral Services, complete Neurosurgical Services, OB Emergency Department and Level II Neonatal Intensive Care Unit that cares for babies born as early as 28 weeks. For more information, visit halifaxhealth.org.