Revenue Cycle and Special Projects Analyst, FT Days

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

Reporting to the Director, Patient Accounting, the Revenue Cycle Analyst and Special Projects Manager is responsible for supporting a successful revenue cycle by monitoring the quantity and quality of work performed, compiling data to develop sound analysis leading to revenue cycle opportunities and maintaining data integrity. Provides dashboards that help management identify issues and take action. Identifies and recovers underpayments.

Required Skills

• Excellent analytic and problem solving skills are a must, as well as demonstrated ability to effectively produce assignments within required time frames and demonstrated outstanding skill in prioritizing work tasks and assignments.
• Candidates must have literacy in PC applications such as Word and Excel and Access applications.
• Demonstrates ability to extract, compile, and format data to produce a variety of reports and presentations.
• Good mathematical skills. 
• Able to perform multiple tasks. 
• Strong verbal and written communication skills, required.  
• Broad knowledge of business case analysis, KPI's, dashboard reporting and revenue/expense analysis.

Required Experience

Required:

• High school graduate
• Experience in managed care, extensive knowledge in all payment methodologies, stop loss, MS-DRGS, HCPCS and ICD codes, per diems, exceptions, etc., extensive experience in analyzing rates, utilization data & developing pricing models, intermediate to advance user of spreadsheet & database applications.
• Understands HFA 1500 Billing form data elements. 

Preferred:

• BA or BS degree
• Experience with MS4 and EPSI, Allscripts PM, Touchworks E.H.R. SFM.
• Previous experience with databases, including report writing and design.

Beyond the benefits that come with working for the area's leading community healthcare provider – one that also recognizes the need to ensure patient safety and comfort – you'll enjoy an extremely competitive compensation and benefits package.  We are an equal opportunity employer and seek diversity in our workforce.   EOE M/F/D/V