Revenue Cycle Analyst - (Museum District)

Overview
At Houston Methodist, the Revenue Cycle Analyst position is responsible for facilitating (gathering, trending, reporting, monitoring, analyzing) data and analytics and various data driven initiatives pertinent to the revenue cycle within the organization, acting as a bridge between the client, stakeholders and assigned team. The Revenue Cycle Analyst is assigned to projects of intermediate complexity and scope and is responsible for identifying the business needs of clients and stakeholders to optimize reimbursement. Duties involve producing, analyzing, validating and documenting business, organizational and/or operational requirements.
Houston Methodist Standard
PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS

• Provide personalized care and service by consistently demonstrating our I CARE values:
  • INTEGRITY: We are honest and ethical in all we say and do.
  • COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
  • ACCOUNTABILITY: We hold ourselves accountable for all our actions.
  • RESPECT: We treat every individual as a person of worth, dignity, and value.
  • EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

• Practices the Caring and Serving Model

• Delivers personalized service using HM Service Standards

• Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

• Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience.

• Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

• Displays cultural humility, diversity, equity and inclusion principles

• Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities
PEOPLE ESSENTIAL FUNCTIONS

• Bridges communication channels between the department, the Business Office, the Single Billing Office (SBO), and other respective stakeholders.

• Works closely with the operations teams to identify and eliminate barriers to account resolution that directly impact optimal reimbursement.

• Engages customers and acts as liaison between operations and the technical team. Utilizes revenue cycle knowledge base to meet and develop business intelligence and document business case/scope/plan. Sets expectations and coordinates team members utilizing teamwork and collaborative skills.

SERVICE ESSENTIAL FUNCTIONS

• Participates in various initiatives as a revenue cycle subject matter expert. Gathers and assimilates data and provides insight to leaders, committees and task forces.

• Assists in the development, maintenance, and distribution of ad-hoc reports and financial models as needed.

• Analyzes complex data sets to identify trends and variances to support optimal reimbursement. Communicates complex analytic findings and conclusions in an easy-to-understand manner.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Extracts data, develops and presents logical and comprehensive analyses and/or summaries on key metrics, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, such as claim submission, insurance and self-pay collections, refunds and write-off approvals. Performs data analysis on an independent basis and consults with management as necessary.

• Performs required testing and quality assurance to ensure solutions delivered are defect free and of high quality.

• Ensures the quality and integrity of data collected for decision making and works with the other areas of the organization to ensure consistency as applicable. Ensures information is consistent, accurate, relevant and timely.

FINANCE ESSENTIAL FUNCTIONS

• Supports financial strategy and analysis activities including business analysis, financial metrics, and project management.

• Utilizes department resources and supplies effectively and practices good time management. Helps minimize excess cost(s) by assisting and recommending solutions in achieving organizational objectives.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Continuously seeks new and creative technologies and innovations that help identify and guide improvement opportunities.

• Stays current on revenue cycle and industry trends. Actively engages in personal assessment and expands learning beyond baseline competencies with a focus on continual development (i.e., participates in training opportunities, focal point review activity, etc.). Applies new learning.

• Proactively manages own professional development.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications
EDUCATION

• Bachelor's degree (preferably in business administration, finance, healthcare administration, or related discipline) or additional four years of experience (in addition to the minimum experience requirements listed below) in lieu of degree

WORK EXPERIENCE

• Three years of experience supporting revenue cycle functions

License/Certification
LICENSES AND CERTIFICATIONS - REQUIRED

• N/A

KSA/ Supplemental Data
KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security

• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles

• Ability to complete sophisticated analytical, consultative, and information support through analysis and report preparation

• General knowledge of Performance Improvement methodologies

• Skill in general use of spreadsheet, database and word-processing software

• Ability to independently analyze and solve problems

• Interpersonal skills for interfacing with all levels of customers and collaborating across clinical and non-clinical departments

• Ability to multi-task with good attention to detail

• Ability to enhance reporting effectiveness and efficiency

SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE

• Uniform No
• Scrubs No
• Business professional Yes
• Other (department approved) Yes

ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

• On Call* No

TRAVEL**
**Travel specifications may vary by department**

• May require travel within the Houston Metropolitan area Yes
• May require travel outside Houston Metropolitan area No

Company Profile
Houston Methodist Specialty Physician Group - As one of the nation's leading hospitals and academic medical centers Houston Methodist has brought together some of the nation's leading experts in multiple specialties to serve our patients. As part of Houston Methodist Specialty Physician Group (HMSPG), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading-edge technologies and treatments, and teaching the medical pioneers of tomorrow. This combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care. Established as a non-profit corporation and certified by the Texas State Board of Medical Examiners, HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.