Revenue Cycle Data Analyst

Company Overview

Shriners Children’s is an organization that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.

All employees are eligible for medical, dental and vision coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a full-time or part-time status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans. Additional benefits available to full-time and part-time employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law.

Job Overview

The Revenue Cycle Data Analyst will provide reporting/analytics and statistical expertise for development of accurate solutions based on business needs. The Analyst will assist in analysis of technical and professional accounts receivable through special data projects and reports for internal customers. The Analyst will also develop customized views from databases and collects data accordingly to support corporate decision making at the strategic, tactical and operations levels through comparison to standard benchmarking.

Responsibilities

• Work with databases, data collection systems, data analytics and other tools to optimize data efficiency.
• Understand insurance data to present and explain information in an accessible way.
• Delve into data to discover discrepancies and patterns, and plans, develops, and/or executes the necessary steps to recommend correction/improvement of data
• Perform queries of respective data and explain developing trends that may be of interest to the business unit or product manager
• Strong acumen regarding 3rd party insurance, billing/collections, and denials.
• Validate reports/analysis to ensure accuracy via comparison to internal and external benchmarks and use of peer review as appropriate
• Perform, monitor and manage other ad-hoc/ advance reporting/analytics functions as and when required
• Act as a data steward maintaining and ensuring data integrity; manage research concerning data anomalies, work with other departments to identify solution or workaround, and communicate outcomes and impacts to other departments as appropriate
• Review data provided by the business operator and manage execution of reporting/analysis, perform interpretations and conclusions, and prepare recommendations

This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.

Qualifications

Required:

• 5 years of patient financial services experience
• Experience with expected reimbursement and contract management
• Experience with 3rd party insurance, billing/collections and denials
• Experience in data analysis, data reporting and data validation
• High School Diploma/GED

Preferred:

• 2 years of experience in data analysis, data reporting and data validation
• Experience in Cerner or Epic
• Bachelor's Degree in related field