Updated: Apr 26, 2024
Location: Anaheim
Job Type:
Department: Revenue Integrity

UC Title: BUS SYS ANL 3

Position Number: 41084319

Reports to: REVENUE CYCLE HC MGR 2

Working Title: Business Systems Analyst 3

Cost Center: Revenue Integrity (428534)

Bargaining Unit: No Bargaining Unit

FLSA: Exempt

Date Created: 4/18/2024

Job Code: 007584

Hours: 40

Shift: Not Applicable

FTE: 1

Position Summary:

This position plays a key role in the organization's move towards more revenue cycle automation using existing Epic functionalities, 3rd party applications and/or AI (artificial intelligence) /RPA (robotic process automation) tools (e.g. UiPath, Microsoft Power Platform, etc.) to optimize efficiencies for existing and new workflows/processes while remaining compliant with healthcare regulations. Also responsible for implementing, maintaining and troubleshooting specified systems, workflow processes, data flows, information transmissions, etc. throughout the receivables cycle. Using a collaborative process, will contribute significantly to reporting and analysis of relevant KPI metrics resulting from automation efforts that could encompass Registration, HIM/Coding, Revenue Integrity, Research Revenue Integrity, Patient Financial Services, Professional Billing Group, Shared Business Office departments.

Total Compensation

In addition to the salary range listed below, we offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our:

Compensation practices (https://www.hr.uci.edu/partnership/totalrewards/compensation.php) and

Benefits (https://careersucirvine.ttcportals.com/pages/benefits).

Salary Range:

Annual Rate Minimum $73,900.00 Midpoint $103,800.00 Maximum $133,700.00

Responsibilities:

Maintains specific master files and billing system and sub-systems

Accurately performs net revenue analysis

Effectively serves as a resource to senior management regarding the functionality of existing manual and automated business office systems

Prepares and distributes weekly reports to PFS management summarizing key information and identifying trends as appropriate. Determines best formats for data and results presentations

Maintains and applies a detailed knowledge of the registration, billing and collection processes and data requirements to ensure assignments are completed effectively and efficiently

Maintains safety and security procedures for Invision system integrity

Effectively implements, modifies and troubleshoots specified computer systems, data flows, information transmissions and report designs throughout the receivables cycle

Collaborates and/or contributes to the analysis of accurate data exchange between Registration, PFS Patient Accounting, Revenue Audit and the current in-house claim scrubber

Effectively assesses need for and provides communications and education/training to billing supervisors and managers

Assesses project scope and develops project plan to include project definition, resources needed, action items, timelines, milestones, decision points and implementation and communication requirements

Coordinates follow up on plan action items and documents plan progress against timeline and decision points. Documents deviations from the plan and reasons for the deviations

Effectively serves as liaison and communicates progress to appropriate members of the management team and others as needed

Oversees implementation of new or changed processes resulting from project to include testing, communications, training, roll-out and follow up assessment

Works with external vendors and consultants as needed to see project through to completion

Effectively manages project plan. Ensures timelines are met, people and other resources are used effectively and efficiently, and performance of vendors is held to plan expectations of performance. Completes project summary at project end

Effectively schedules and leads team meetings. Assigns work based on team member strengths and follows up to ensure team members have the necessary resources to follow through

Serves as a key resource in the organization's transition to electronic billing (EDI) and electronic payment posting

Effectively analyzes new proposals or initiatives. Identifies creative solutions and prepares alternative recommendations as appropriate

Collects and assembles analytical and factual data appropriate to assigned problems. Effectively maintains information in formats that facilitate reporting needs

Effectively determines, locates and evaluates sources for collecting credible information and data

Develops and presents effective recommendations to supervision/management

Effectively makes internal and external contacts as necessary to obtain or validate data

Makes recommendations for improving existing processes based on analysis and follows through as appropriate

Appropriately plans, coordinates and implements recommendations

Obtains information from appropriate internal sources to answer questions

Effectively uses computer systems, including TDS, Quest or Diamond

Maintains a current working knowledge of Federal, State, University and industry regulations and accounting standards

Responds effectively to questions regarding patient accounts and provides an accurate explanation of charges

Troubleshoots unresolved problems. Researches facts, evaluates alternatives, and interacts with others as appropriate to achieve resolution

Assists in the resolution of customer complaints/issues (re: care, charges, service, etc.) by providing information in the most efficient way, seeing problem completely through to resolution

Proficient in the interpretation and application of financial policies and guidelines

Accurately reviews exception reports and works with staff to ensure corrections

Consults with managers and staff regarding identification of billing and reimbursement issues

Effectively analyzes data between the HCC system and Decision Support system and recommends necessary changes

Required Qualifications:

Demonstrated knowledge of Excel, Access, Word

Knowledge of registration, billing and collections processes and data requirements gained through at least two years experience working in a hospital based environment utilizing an automated Patient Accounting system

Ability to lead others on a project basis

Ability to identify process improvement opportunities and develop and recommend new processes as needed

Strong analytical skills with the ability to summarize key information clearly and concisely

Strong oral and written communications skills to effectively communicate with staff, senior management and external constituents

Ability to think critically and problem solve independently as well as collaboratively as required

Ability to work independently and take initiative to identify priorities and manage workload accordingly

Ability to read and understand intent of regulatory documents to be able to assess impact on current operational processes

Familiarity with rules and regulations governing various payers

Strong knowledge of healthcare automated systems utilized in a Business Office environment

Preferred Qualifications:

Bachelor's Degree in Business, Finance or Computer Sciences

Knowledge of UC policies and procedures

Project management experience

Specific knowledge of Invision Patient Accounting System

Understanding of billing related EDI formats and requirements

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at [emailprotected] or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.