Revenue Cycle Analyst

Overview:

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

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Responsibilities:

This position will drive business value by supporting Revenue Cycle management in the analysis of Revenue Cycle processes, workflows and data, as well as proactive identification and implementation process improvement opportunities by applying analytical and critical thinking to generate innovative and practical solutions that drive revenue optimization and enterprise results through increasing revenues and efficiencies. This position will be responsible for

• Assisting in developing, implementing and maintaining controls for processes related to assigned area of expertise.
• Documenting new processes as new technology is introduced to the Revenue Cycle.
• May be tasked with developing written procedures and training resource guides based on processes.
• Helping make decisions of considerable impact and consequences involving technology, systems and vendor expense trends.
• Interpreting data, facts and/or trends independently and makes business recommendations to management.

Qualifications:

1. Bachelor’s degree in Business, Finance, Business Analytics, Healthcare Administration or other healthcare related profession is preferred.

2. Six Sigma, Lean or similar experience preferred

3. Minimum of two (2) years of experience in Revenue Cycle processes and applications such as billing, coding, reimbursement methodologies, claim denial, etc.

4. Proficient in business software applications, and related revenue cycle systems (EHR, Billing, etc. software

5. Working knowledge of windows based personal computers

6. Ability to use independent judgement and decision-making

7. Possesses project management, change management and analytical skills necessary to develop and implement appropriate changes.

8. Desire to make an impact, manage multiple tasks, and shift priorities quickly

9. Solid interpersonal skills and the ability to influence others

10. Strong communication skills, written and verbal

11. Leadership skills and results oriented

12. Excellent critical thinking and problem solving skills

Employment Status: Full Time Shift: Days Equal Employment Opportunity:

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf