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REVENUE CYCLE ANALYST - REVENUE INTEGRITY in San Diego, CA at Scripps Clinic - Rancho Bernardo

Date Posted: 12/7/2018

Job Snapshot

Job Description

At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.
 
You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.
 
Come support our Business Services Team in this vital position that maintains fee schedules, clinic charges, and physician re-imbursement. Join a small influential team that makes a true impact in the Scripps Experience. 
  • The Revenue Cycle Analyst will review and investigate errors, determine root causes and develop solutions and work with staff/departments across the enterprise to implement solutions.
  • Conducts analysis on a variety of accounts and reports, works to prioritize recommendations based on fiscal and volume impact.
  • Provides workflow design, and statistical analysis. Makes recommendations for policy changes based on results.
  • Other duties as assigned (i.e. ad hoc)
  • Under general direction, formulates and defines reports and data extracts based on both user needs and a good understanding of applicable business systems and industry requirements. 
  • Can identify processes and logic to deliver desired results for the business and user needs to solve problems considering computer equipment capacity and limitations, operating time, and form of desired results output.
  • Responsible for extracting data and creating standard reports for the Business Services team and providing end to end Revenue Cycle Management support of performance trends (denials, edits, claim submissions, charges and ad hoc requests)
This is a Full Time, Salaried position at our Scripps office in Rancho Bernardo.

Job Requirements

Required Education/Experience/Specialized Skills:
  • Minimum of three years relevant Healthcare/Medical Office support experience in a team-oriented environment such as Business Office, IT, web, corporate operations and/or management related fields.
  • Ability to communicate effectively with all levels of management and stakeholders in the health care setting.
  • Ability to analyze and effectively apply concepts in technology, project management, and healthcare disciplines.
  • Knowledge and/or experience with KPIs, metrics, and analytic tools. Proficient knowledge of MS Office suite including advanced Excel skills (Pivot table/Pivot Charts)
  • Exhibits professional written, verbal, and interpersonal communication skills.
  • Strong client facing skills with proven ability to capture functional requirements from business leaders.
  • Demonstrated ability to make decisions independently, influence others, and resolve issues.
  • Knowledge of Medical Accounts Receivables claim life cycle.
  • Proven organization skills including the ability to prioritize and multitask while maintaining strong attention to detail and meeting deadlines.
Preferred Education/Experience/Specialized Skills/Certification:
  • Epic training and/or Epic certification
  • Data Analysis
  • Excel advanced skills including pivot table and pivot charts
  • MS Access
  • Report writing ability
    • WebI
    • Cogito
    • Oracle/BI Query
    • SQL
  • Professional Billing Revenue Cycle
Scripps Health is repeatedly named on the Fortune Magazine’s 100 Best Companies to work for, the only San Diego-based company and Becker’s Healthcare Top Hospitals. Scripps Health offers a robust Total Rewards Program designed to compensate and motivate you throughout your career. Scripps Health Total Rewards Program includes a broad range of plans and programs including market competitive pay and performance incentives, health and wellness benefits, financial wellness benefits, work-life resources, learning and development opportunities, and rewards and recognition. Unlock your potential with Scripps Health today.

Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.