This position enhances efficient Revenue Cycle operations by providing oversite to cash reconciliation and credit resolution process thereby identifying issues that can be either prevented or moved to the front end and resolved during payment posting.
The Business Analyst is knowledgeable of cash posting processes, edits, payer rejections, cash reconciliation and credit resolution workflows and uses this knowledge when reviewing trends and recommending changes to enhance payment posting, refund, and credit resolution process.
The Business Analyst serves as a resource for questions about UCPG cash posting, cash reconciliation, and credit resolution and works with others to share this information. In addition, this position works with UCPG Finance on broader issues related cash and credit reconciliation and credit resolution reconciliation and reporting/resolution of payer denials.
Oversees the cash posting process.Â Reviews current cash posting practices and determines, implements, communicates and maintains an efficient cash posting process.Â Works with IT to optimize system setup.Â Communicates with other UCPG units regarding the timeliness and accuracy of payment posting. Audits quality of posted payments, and provides feedback and training to cash application staff. Serves as subject matter expert for cash application activities.
Oversees the credit resolution process.Â Reviews current credit resolution practices and determines, implements, communicates and maintains an efficient credit resolution process.Â Trains credit resolution staff and audits quality of refunds, undistributed payments, and other credit resolution transactions. Serves as subject matter expert for credit resolution activities.
Maintains daily cash reconciliation process and works with UCPG Finance to resolve variances and other discrepancies.Â Works with the bank, payers, and vendors to ensure that payments and files are received timely and files reconcile to cash. Reviews and evaluates manual payment batches to find electronic payment opportunities.Â
Monitors credit balances, captures trends and identifies opportunities to improve workflows.Â Reviews and approves insurance and patient refund requests. Provides root-cause analysis, and assists in credit and refund root cause resolution.Â Â
Provides payment posting and reconciliation expertise to other UCPG units. Assists Revenue Cycle follow-up staff in resolving payment posting and missing payment issues.Â
Assists the manager in streamlining workflows with the intention to reduce manual work.
Assists the manager in providing training to new and existing Cash Application and Credit Resolution staff.
Acts as an escalation point for problematic accounts and other complex payer projects.
Reviews the impact of teamâ™s actions on aging AR and follow-up staffsâ™ assignments.
Responsible for submitting specialty account bills and claims to PB clients and follows up on outstanding AR and payments as well as ensure that payments and adjustments are posted correctly and provide feedback on any issues to PB and HB payment posting teams and/or managers.
Responsible for managing teamâ™s time off and approves time cards for payroll.
Provides support to UCPG and external entities for credit and refund resolution issues.Â Provides internal and external clients with timely feedback of credit balances and refund trends and issues.
Communicates clearly and professionally with the other UCPG units, clinical departments, external vendors, and payers in effort to build partnerships.
Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.
Has a moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.
Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
Performs other related work as needed.
Bachelorâ™s Degree in Business, Finance, Healthcare, or a related field.
5+ years of experience in a related job/field.
Previous experience using Epic billing system.
Previous experience with physician revenue cycle specifically Cash Application and Credit Resolution.
Proven ability to effectively develop and introduce procedures and processes to others both within Department and with Manager/individuals in other UCM departments.
Critical thinking skills to review/compare information and form conclusions.
PC experience and MS Office (Excel, Word).
Previous experience with Microsoft Visio.
Demonstration of effective interpersonal skills necessary to develop effective working relationships with both internal and external customers.
Demonstrated ability to participate as a member of a work group or team.
Demonstrated ability to set priorities and to effectively manage completion of assigned duties, with minimal supervision.
Demonstrated ability to communicate effectively in English, both orally and in writing.
Confidentiality/discretion must be maintained at all times.
Ability to handle multiple concurrent tasks in a competent and professional manner in a fast paced atmosphere.
Ability to understand medical terminology/documentation.
Ability to solve problems independently with limited direction from the supervisor.
Cover letter (preferred)
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