What are the responsibilities and job description for the Financial Analyst position at RWJBarnabas Health?
Job Overview :
The Financial Analyst supports the AVP by providing key operational functions to identify opportunities and minimize risk. The Financial Analyst position plays a key role within the health system by ensuring all steps are taken to clear accounts from EPIC edits. A core function of this position is to ensure that claim edits are minimized, and we can generate a clean claim.
Qualifications : Required :
College degree required
Minimum of 3 years in Patient Access or Revenue Cycle role
Knowledge of Billing edits
Knowledge of EPIC WQ s
Advanced Excel experience required
Medical terminology and computer skills
Preferred : Masters degree
Scheduling Requirements :
Day Shift
8am to 4 : 30pm
Mon- Fri
Full-Time
Essential Functions :
The Financial Analyst provides direct and indirect support to department by analyzing data to identify issues and opportunities, claim edits, denials and improve processes
The Financial Analyst has in-depth knowledge of billing / charge capture edits, protocols for confirming the clinical services rendered and minimizing financial risk
The Financial Analyst has extensive knowledge of revenue cycle billing edits and is able to clearly understand and articulate with clinical and non-clinical staff
Provides excellent customer service to all patients, colleagues and other external and internal customers
Ensures work queues are worked timely and accurately based on coding / billing guidelines
Works closely and leads discussions with Clinic / Ancillary department to clear pending claims
Coordinates with the CBO, Revenue Integrity, HIM, IT, etc to resolve complex issues that are holding claims
Follows up with departments on missing documentation that supports the services provided
Demonstrates proficiency in the entire pre-admission, registration, and revenue cycle clearance processes
Demonstrates initiative and motivation in role; proactively identifies and resolves problems in an appropriate manner and escalates issues to leadership when necessary
Utilize system generated reports to analyze data and identify trends
Researches and maintains statistics on all errors or inconsistencies that exist
Assist with denial trends and assist with determine root cause, identify issues and areas of opportunity
Meets and exceeds department goals including accuracy and productivity
Create tracking and trending reports and identifies the financial risk for each area
Provide summary findings and recommendations to leadership teams
Assist with creating action plans to address and resolve issues
Audit and review workflow, patient processing and quality standards
Researches and maintains statistics on all errors or inconsistencies that exist
Participate in training through the development of training tools, presentations at department in-services or staff meetings
Reflects commitment to building a supportive work environment and maintains a positive attitude
Works closely and professionally with clinical staff and ancillary departments to foster a team environment
Other Duties :
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Benefits and Perks :
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.
Paid Time Off (PTO)
Medical and Prescription Drug Insurance
Dental and Vision Insurance
Retirement Plans
Short & Long Term Disability
Life & Accidental Death Insurance
Tuition Reimbursement
Health Care / Dependent Care Flexible Spending Accounts
Wellness Programs
Voluntary Benefits (e.g., Pet Insurance)
Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!
Choosing RWJBarnabas Health!
RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.