- Develop reports to meet all departmental reporting requests in reference to provider changes, ACO attributions and insurance data validation. Conduct data audits, identify updates as required.
- Develop new report templates for ad-hoc and or standard monthly reports to assist with monitoring of the payer credentialing database. Provides a detailed assessment of processes with a focus on process improvement and best practices. Monitor and analyze to compare with industry benchmarks
- Prepares monthly reports, analysis, and formal presentations for departmental and central administration leadership. Delivers presentations as needed
- Works closely with Department management to facilitate root issue remediation
- Collaborates closely with peers to develop, validate, and maintain meaningful report sets. Recommends and implements best practices within the Revenue Cycle payer credentialing team and other departments
- Identifies key topics and best practices for optimization and establishes mechanisms to share expertise and knowledge amongst peers
- Participates in training and other in-servicing sessions for caregivers on the payer credentialing team
- Maintains payer credentialing database
- Reviews, tests, and participates with implementation of system updates and other system configuration changes
- Assists the payer credentialing Billing Manager as needed
- Performs other duties as required
- Bachelor of Science degree in Information Technology, Finance Management or a related field
- Minimum of 5 years of experience with payer credentialing processes, revenue cycle systems and healthcare billing, that includes reporting, business intelligence and reimbursement processes
- An equivalent combination of education and experience may be substituted
- Full Medical, Dental, Vision, Life Insurance, etc.
- 403(b) with company match
- Generous paid time off
- Incredible Work/Life benefits including annual membership to , access to backup care services for dependents through , retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more
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Revenue Cycle Senior Systems Analyst - Wilmington, DE, United States - ChristianaCare
Description
***This is a remote opportunity***
Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare
ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition.
PRIMARY FUNCTION:
Responsibilities include all aspects of Revenue Cycle Payer Credentialing system support including data management, performance improvement, development, documentation, testing, training and upgrades. Assists management in examining processes to improve workflow.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
EDUCATION AND EXPERIENCE REQUIREMENTS:
Christianacare Offers:
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