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Revenue Cycle Senior Systems Analyst - Wilmington, United States - Acord (association For Cooperative Operations Research And Development)

Acord (association For Cooperative Operations Research And Development) Wilmington, United States

1 month ago

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(r).

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:
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

EDUCATION AND EXPERIENCE REQUIREMENTS:
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

Christianacare Offers:
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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