Revenue Cycle Analyst (Healthcare) – Fiscal Services | Full Time

Holly Thompson

Why Blue Mountain Hospital District & Grant County?

The Blue Mountain Hospital District (BMHD) is located in Grant County, Oregon, at the heart of the John Day River, in beautiful, rural, Eastern Oregon.  Our District is comprised of a Critical Access Hospital (CAH), Family & Rural Medicine Clinic, Home Health and Hospice, Emergency Medical Services, an Intermediate Care Center and all of the supporting ancillary departments necessary to care for the health and wellness of our community.

Our District spans from John Day to Prairie City, nestled in a valley surrounded by the Blue Mountains.  The Strawberry Mountain Range and John Day River Valley offers a variety of outdoor activities, from abundant hiking/mountain biking/horse riding trails, to high and low lakes and ponds.  Our area is known to be a “go to” place not just for recreation, but also for big game hunting and fishing!

Join our family-like team and settle into a lifestyle that is hard to beat!

For more information on our area, visit our Grant County Chamber of Commerce page at: https://www.gcoregonlive.com/

Position Summary:

The Revenue Cycle Analyst (RCA) provides oversight and support for Revenue Cycle integrity and workflow processes using data analytics. This position assures all established billing, accounting systems, and process requirements have been met in order to ensure timely and optimal reimbursement and business workflows to provide the best experience for staff and patients.

The Revenue Cycle Analyst will analyze and assess revenue cycle processes and workflows and use their knowledge and expertise in the implementation, adoption and optimization of revenue cycle and financial applications. Support the deployment and ongoing optimization of the District Electronic Health Record systems (EHR), Patient Accounting Practice Management system (PM), and Accounting Information system (AIS).   The Revenue Cycle Analyst will operationalize the EHR/PM/AIS workflow implementation and changes that support business efficiency, quality improvement, and regulatory/policy requirements in coordination with the Directors of Quality, Operational Improvement\Technology, and the Chief Financial Officer.

The goal of the RCA is to:

  • Assist in the deployment and change management of the District EHRs and accounting information system in support of District financial operations.
  • Operationalize EHR and business workflows supported by healthcare information technology to improve staff experience, business efficiency, and quality of patient care.
  • Ensure that system deployment, maintenance, and performance improvements meet the need of the various operational and clinical departments of the hospital district.

Essential Functions and Responsibilities:

  • Analyzes and assesses Revenue Cycle workflows, transactions, processes, and reports.
  • Runs, reviews, interprets, analyzes, and validates Revenue Cycle reports.
  • Possesses the ability to run standard Revenue Cycle and operations reports in order to answer questions from department/practice managers, vendors, physicians, and other Revenue Cycle stakeholders.
  • Conducts Revenue Cycle report analysis and validation.
  • Assesses the business use and functions of Revenue Cycle application systems providing recommendations for optimization as necessary.
  • Supports and assists employees in assigned area(s) in identifying and troubleshooting Revenue Cycle related problems\bottlenecks, develop corrective action plans, and provides recommendations for resolution.
  • Supports Cost Accounting and Materials workflow for chargeable and non-chargeable items.
  • Performs Payer contract and reimbursement variance analysis.
  • Participates in new service/business line research and assessment.
  • Assists and participates in creation of training manuals and job aids for respective area(s) of expertise.
  • Other duties to support financial operations as assigned.
  • Staff Development
    • On-going oversight of EHR learning management systems and coordinating with supervisors and employees to ensure continuous education of features to help with adoption.
    • Coach staff and end-users on financial operations including charge capture, claims submission, and financial reporting utilizing the EHR system.
    • Develop ideas, formulate and implement a plan for modifying training materials based on system changes as needed.

Core Accountabilities: 

Planning & Coordinating

  • Maintain an effective level of coordination on all assigned projects.
  • Strong project management skills, including the ability to lead meetings, prioritize, resolve conflicts, and maintain issues lists.
  • Strong documentation and organization skills to report on all procedures and projects undertaken.

Customer service

  • Effectively answers questions and/or concerns regarding the EHR system in a positive fashion.
  • Keeps an objective focus in all interactions.
  • Dedicated to meeting the internal customer’s expectations. Demonstrate sensitivity, empathy, concern, and respect for others. Act with patient care in mind, gain trust and respect by building and maintaining effective relationships.
  • Maintain confidentiality – in accordance with hospital and HIPAA regulations.

Teamwork

  • Interact effectively with the Information Technology team regarding equipment problems, application processing problems, requests for enhancements, and software updates.
  • Approachability – build rapport by making an effort to be cooperative and adaptive, put others at ease, and support co-workers.
  • Listening – practice active listening; display patience when listening to the views of others, and discuss differing opinions with an open mind.
  • Problem-solving – work with others to prevent problems & find a solution when issues arise.
    • Employee may be asked to provide coverage outside of their standard work schedule to provide coverage for go-lives or other special circumstances as determined by leadership.

Supervisory Responsibilities:

None

Knowledge, Skills and Abilities:

  • Strong computer skills including Microsoft Office and Google Workspace.
  • Experience building data-driven reports using data analytic tools such as SAP Business Objects, Crystal Reports, Microsoft Power BI, or Tableau.
  • Operational knowledge of clinical or revenue cycle processes in one or more areas of a hospital, clinic, or business office.
  • Minimum Five years of experience to include a combination of billing in an outpatient and/or inpatient setting, and billing for ancillary departments working with electronic health record systems.
  • Experienced in the development and management of healthcare/financial related projects and workflow design and re-engineering.

Education Requirements:

Preferred: Four-year degree from an accredited* university in a finance or business related field*

*Accreditation must be recognized by the United States Department of Education (USDE) and the Council on Higher Education Association (CHEA)