Financial Analyst

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.