Department: Jackson Memorial Hospital - Revenue Cycle Management

Address: 1611 NW 12th Ave., Miami, Florida 33136

Shift: Full-Time, Days

Why Jackson:

Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. 

Summary

The Revenue Cycle Business Analyst is responsible for participation in the analysis, design, implementation and follow-up of a variety of large-scale revenue cycle projects utilizing computer systems. Participates in all phases of projects, including but not limited to: planning, designing, developing, testing, implementing, training and troubleshooting. This position will have a significant role in the administration or preparation of the departments or the organization's budget. Position requires exercise of independent judgment as incumbents will have access to sensitive and personally identifiable information. Incumbent will also have access to detailed and aggregated revenues, expenses, patient and employee information which has to be handled with utmost diligence and high levels of responsibility.

Responsibilities

Identifies process improvement opportunities and supports efforts to leverage revenue cycle applications to their fullest potential. Works with revenue cycle departments to identify and develop lean processes which eliminate and/or minimize third party payer denials and rejections and improves cash flow. Reviews and analyzes system data and key performance indicators to meet or exceed operational goals. Supports the development and delivery of user training; assist with development and implementation of strategic goals. Assists in the implementation of new system software and/or modifications. Participates in all appropriate system installations. Assists in the management of projects alongside SME's and IT. Analyze changes and enhancements to software in order to determine impacts on existing systems/processes. Works closely with Patient Access, Case Management, HIM, CBO, Revenue Integrity, and other areas in a consultative capacity to support accurate and timely billing of patient account receivables. Has a thorough understanding of third party payer requirements for patient services. Interprets data from denials management program to develop denial prevention strategies. Produces ad-hoc reports and maintains proficiency in understanding revenue cycle workflows; identifies systemic issues and makes recommendations for improvements to the Revenue Cycle leadership team. Remains current with trends, regulatory requirements, and business strategies related to the revenue cycle. Represents Revenue Cycle as part of the team that evaluates, tests, and implements custom or vendor supplied business oriented software according to user specifications. Maintains a significant level of expertise and proficiency in the utilization of the patient registration, scheduling, clinical and patient accounting systems. Completes assignments within deadlines and works according to project schedules. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned.

Experience

Generally requires 3 to 5 years of related experience.

Education

Bachelor's degree in related field is strongly preferred.

Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.