Revenue Cycle Analyst - Financial Clearance

Children's Hospital of Philadelphia - Philadelphia, PA

Full-time - Mid Level

Philadelphia, PA

10,001+ employees

Hospitals

About the position

The Revenue Cycle Analyst position at Children's Hospital of Philadelphia (CHOP) involves managing data collection and analytics to support patient financial services. The role requires a proactive approach to maintain the integrity of sensitive information related to patients and financial transactions. The analyst will also implement quality review programs, manage departmental projects, and provide analytical support to various stakeholders within the organization.

Responsibilities

• Manage data analysis and quality assurance for PFS departments, including compiling reports and operationalizing KPI metrics.
• Run and distribute metric reports to quantify and compare actual versus expected outcomes.
• Pull data from source systems and create analytic summaries, ensuring data validity and accuracy.
• Utilize EPIC reporting and Slicer Dicer to create standard reports for leadership.
• Identify payor trends and summarize findings for management.
• Document findings and root causes of issues.
• Analyze productivity standards and create dashboards to monitor department performance.
• Support internal projects by leading data investigations and communicating findings to personnel.
• Document and disseminate operational policies and procedures, and workflows as needed.
• Identify, report, and track system-related operational issues, implementing solutions and monitoring fixes.
• Maintain a leadership role in financial systems installs and upgrades.
• Provide creative solutions to operational challenges and assist in making data-driven recommendations.
• Support leaders in department-led committees by managing agendas and project timelines.
• Monitor daily KPI tracking to identify trends and opportunities for improvement.

Requirements

• Bachelor's Degree Required
• At least three (3) years work experience in a healthcare finance, accounting, billing, or business role/environment Required
• Proficiency in Excel, including pivot tables and advanced formulas Required
• Excellent presentation skills and comfort presenting findings to staff and management Required
• Strong understanding of Patient Financial Services procedures and operations Required
• Excellent communication and organizational skills Required
• Strong interpersonal skills Required
• Analytical and detail-oriented with the ability to work independently Required
• Ability to implement procedural changes and monitor progress Required
• Certified Patient Financial Services Specialist or Certified Revenue Cycle Representative within 6 months Required