Atlantic Health System

posted about 2 months ago

Full-time - Entry Level
10,001+ employees
Ambulatory Health Care Services

About the position

The Financial Application Analyst I at Atlantic Health System plays a crucial role in supporting the daily operations and analytical needs of the Finance Departments, particularly in collaboration with the Reimbursement & Reconciliation Manager and Supervisor. This position requires the analyst to utilize system applications for tracking, analyzing, and developing reports that align with departmental needs. A significant aspect of this role involves building strong relationships with stakeholders to gain a deep understanding of the supported business processes, thereby delivering value through the analysis of complex data sets. The analyst will investigate key business trends, performance issues, and behaviors to enhance operational efficiency. In this role, the analyst is responsible for documenting processes to improve business operations and developing operational dashboards that support Revenue Cycle Operations. This includes monitoring Aging Accounts Receivable (AR), trending payor issues, and overseeing posting and collections through appropriate Business Intelligence (BI) tools. The analyst will identify payor trends and communicate these insights back to the team and leadership, ensuring that the organization remains informed about critical financial metrics. The position also involves completing claims worklists assigned by the Reimbursement Supervisor and running reports for distribution to management as needed. The analyst will provide bi-monthly reporting of dashboard status, including aged balances and error reasons, and will work with internal departments to collect data necessary for developing and implementing effective strategies. Additionally, the analyst will field staff questions and complaints regarding insurance needs on behalf of assigned providers and specialties, review allowances, and analyze potential issues that may lead to unposted allowances on accounts. A strong knowledge of the healthcare industry, particularly regarding the revenue cycle, coding, claims, and state insurance laws, is essential for this role. The analyst will assist in researching reimbursement issues related to benefits and eligibility, complete Key Performance Indicator (KPI) reports as requested by management, and ensure accurate and timely follow-up on accounts receivables. The ability to break down complex problems into manageable pieces, seek guidance, and propose solutions is critical. Furthermore, the analyst will be responsible for training new team members on payor contracts and processes, turning over delinquent accounts to third-party collection agencies, and performing monthly quality assurance on team accounts or workflow actions to ensure accuracy and detail.

Responsibilities

  • Support daily operations and analytical needs of Finance Departments.
  • Utilize system applications for tracking, analyzing, and developing reports.
  • Document processes to improve business operations.
  • Develop operational dashboards for Revenue Cycle Operations.
  • Identify payor trends and communicate findings to the team and leadership.
  • Complete claims worklists assigned by the Reimbursement Supervisor.
  • Run reports for distribution to management as needed.
  • Provide bi-monthly reporting of dashboard status to the Reimbursement Supervisor.
  • Work with internal departments to collect data for strategy development.
  • Field staff questions and complaints regarding insurance needs.
  • Review allowances and analyze issues causing unposted allowances.
  • Assist in researching reimbursement issues related to benefits and eligibility.
  • Complete KPI reports as requested by management.
  • Ensure accurate and timely follow-up on accounts receivables.
  • Train new team members on payor contracts and processes.
  • Turn over delinquent accounts to third-party collection agencies.
  • Perform monthly quality assurance on team accounts or workflow actions.

Requirements

  • Strong analytical skills and experience with data analysis.
  • Proficiency in using BI tools for developing dashboards.
  • Excellent communication skills for stakeholder engagement.
  • Knowledge of healthcare revenue cycle, coding, and claims processes.
  • Ability to document processes effectively.
  • Experience in running reports and analyzing data trends.
  • Familiarity with state insurance laws and reimbursement issues.
  • Ability to train and mentor new team members.

Nice-to-haves

  • Experience in healthcare finance or accounting roles.
  • Familiarity with electronic health record (EHR) systems.
  • Knowledge of financial modeling and forecasting techniques.

Benefits

  • Health insurance coverage
  • Dental insurance coverage
  • Vision insurance coverage
  • 401(k) retirement savings plan
  • Paid time off and holidays
  • Professional development opportunities
  • Employee wellness programs
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