Senior Revenue Cycle Business Analyst
Piedmont Healthcare
Senior Revenue Cycle Business Analyst
Piedmont Healthcare
Integrated, non-profit hospital and clinic care
At Piedmont Healthcare, you’ll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.
RESPONSIBLE FOR: The Sr. Analyst provides oversight and support for Revenue Cycle integrity and workflow processes using data analytics. The Sr. Analyst assures all established billing, systems, and process requirements have been met in order to ensure timely and optimal reimbursement. Through the analysis of key performance indicator data, the Sr. Analyst works to improve Revenue Cycle production and efficiency. The Sr. Analyst recommends changes that will positively impact the Revenue Cycle and help Piedmont Healthcare (PHC) operate according to industry benchmarks and meet A/R performance goals and productivity. The Sr. Analyst will improve and implement internal controls over the revenue cycle and will work closely with IT on interface and system issues as required to improve the flow of data. The Sr. Analyst may lead projects for Revenue Cycle.
MINIMUM EDUCATION REQUIRED:Bachelor's degree in Computer Science, Information Systems, Mathematics, Finance or a closely related field required. In lieu of degree, six (6) years of relevant work experience will be accepted in addition to the experience requirement.
MINIMUM EXPERIENCE REQUIRED:Three (3) years of experience exhibiting advanced performance in physician and/or hospital billing revenue cycle required. (If no degree, a total of nine (9) years of experience required).
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:None.
ADDITIONAL QUALIFICATIONS:Advanced knowledge of third-party insurance, and familiarity with insurance plan types; HMO, PPO, POS, and Indemnity. Excellent knowledge of Government Programs, including Medicare (CPT, ICD coding/reimbursement, and Medicare Fraud & Abuse regulations), Medicaid and Tricare Programs. Possesses thorough knowledge of HIPAA regulations. Possesses advanced knowledge of Revenue Cycle Systems. Healthcare experience in data analytics, systems performance, and/or accounting. Experience with root-cause analysis and lean processes.
Integrated, non-profit hospital and clinic care
Piedmont Healthcare runs a large network of hospitals, clinics, and care facilities across Georgia. It delivers medical services through 27 hospitals, 113 urgent-care locations, 1,875 Piedmont Clinic physician practices, and related clinics, serving more than 4.5 million patients with online scheduling and virtual visits. As a private, not-for-profit system, Piedmont coordinates care across its integrated network to provide safe, affordable, high-quality care close to home. It engages in community health and philanthropy, supported by more than 12,000 donors and a workforce of over 47,000 caregivers. Piedmont’s goal is to make healthcare easy to access and convenient for Georgians while maintaining a focus on community impact and patient experience.
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