Revenue Cycle Analyst III 169047(59540)

This position is responsible for guiding and assisting with the planning, analysis, development, improvement and support of the regional EMR financial information systems, business applications and operations.

Job Summary:

• Reviews, evaluates and recommends computer-based workflow processes in accounting, material and revenue cycle areas to maximize accuracy and efficiency.
• Reviews ongoing billing and collection performance related to insurance and self-pay balances; recommends, gains approval for and configures process and system improvements.
• Applies state and federal laws and regulations for Medicare, Medicaid, Contract Payors and commercial insurance for acute and long-term care facilities to the EMR financial system.
• Collaborates with report writers and uses reporting software to develop and maintain reports.
• Assists with the creation and upkeep of system-related policies and procedures.
• Helps create and deliver training programs to enhance staff development and knowledge.
• Provides efficient and reliable analytic and operational support and service to regional facilities, departments and users.
• Serves as the primary point of contact for users to report problems with existing operational systems and to request special processing requirements (e.g., queries, job runs and report requests).
• Documents all user problems and requests to enable tracking through to completion.
• Seeks approval for and configures the EMR financial system and business applications as necessary.
   

Education Requirement:

Bachelor’s degree from an accredited four (4) year college or university.

Excess work experience of the type and quality described below or progressively responsible professional work experience which provided knowledges, skills and abilities equivalent to those normally acquired in four (4) of successful study leading to a bachelor’s degree may be substituted for education on a year-for-year basis.

Experience Requirement:

Except for the substitutions provided below, applicants must have had progressively responsible experience of the kind and quality described in the following paragraphs and in the amounts indicated in the table below:

Specialized Experience:

Progressively responsible professional work experience which has demonstrated general knowledge of public and private health care programs including billing, credit, collection and account maintenance activities of a healthcare institution.  This experience must have provided familiarity with, and knowledge of health insurance programs; general financial practices of healthcare providers; and the ability to evaluate the bases of medical rates and costs.

Substitutions Allowed:  Possession of a master’s degree from an accredited college or university in Healthcare administration or related field may be substituted for one (1) year of Specialized Experience.

As the Big Island’s leading providers of inpatient and outpatient care, the East Hawaii Region of Hawai`i Health Systems Corporation (HHSC), consisting of Hilo Medical Center, Hale Ho′ola Hamakua, Ka′u Hospital, and the Yukio Okutsu State Veterans Home, delivers a full range of services and programs. Our three hospitals include 290 beds and over 1,700 employees. Our medical staff is comprised of 250 physicians, physician assistants and Advanced Practice Registered Nurses, representing 33 specialties. East Hawaii Health is our network of clinics offering primary and specialty care. Hilo Medical Center functions as a Level III Trauma Center, which includes the second busiest emergency room in the state, providing 24-hour care and serving more than 50,000 patients annually. Hale Ho′ola Hamakua and Ka′u Hospital are designated as Critical Access Hospitals. To learn more about the East Hawaii Region, please watch our Video Yearbook or visit www.hilomedicalcenter.org, www.halehoolahamakua.org or www.kauhospital.org.

• 13 paid holidays each year (14 during election years)
• 21 paid vacation days per year
• 21 paid sick days per year
• Medical, dental, vision, and prescription plans
• Employee Assistance Program
• Participation in the State of Hawaii’s retirement system
• Potential eligibility for various student loan repayment & scholarship programs

Offers of employment will be contingent on successfully passing a pre-employment examination, which includes drug screen and other regulatory medical requirements such as, but not limited to, a tuberculosis (TB) screen.  The cost for drug screening and blood draw for QuantiFERON and Titers, shall be borne by the Hawaii Health Systems Corporation.

As part of the recruiting process for this position, external applicants (job applicants NOT employed by HHSC’s East Hawaii Region) are required to complete a pre-employment assessment(s) shortly after application submission. If you are not an employee of the East Hawaii Region of HHSC, you will receive an email containing assessment instructions. We ask that you complete the assessment(s) within two days of receipt of the request. 

East Hawaii Region (Hilo Medical Center, Hale Ho’ola Hamakua and Ka’u Hospital) is a drug free workplace and an Equal Opportunity Employer.

Must be available to work shifts, weekends and holidays as necessary based on hospital operations. Services are provided 24/7.