Business Systems Analysis Director jobs in Boca Raton, FL

Summary

The Director of Revenue Analysis carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Responsible for preparation and completion of eReserve
• Responsible for the review/adjudication of Revenue Reclasses, Adjustments, Refunds, Charity Applications and Professional Courtesy Discounts
• Responsible for the analysis of eReserve and items/trends that significantly impact net revenue
• Monitor/analyze AR/Disputes and assists with Bad Debt Initiatives
• Monitor and communicate non-reimbursable charges (e.g., ABN not signed, denials, disputes, bad debt)
• Review proposed managed care contracts and identify any issues or concerns with implementation of the terms prior to the contract being finalized
• Assist in analyzing data to verify contract terms have been loaded correctly into IMaCs and claims properly adjudicated during and after managed care negotiations
• Monitor/review billing, A/R and reconciliation for hospital specific contracts (e.g., non-IMaCs, local employer)
• Work with hospital departments to resolve revenue cycle issues (e.g., orders, charging, Patient Access, DNFB, DNSP, QS, disputes)
• Work with hospital leadership on revenue cycle issues
• Work with hospital related entities (e.g., clinics, universities), if applicable
• Facilitate revenue cycle meetings (preparation, facilitation and follow-up)
• Support/Coordinate/Monitor the following: Department Head meetings, Chart Audit meet Compliance Committees, Charge Master review/updates, pass through invoice retrieval, Complex (e.g., ‘High $” or “At-Risk”) in-house patient meetings, Hospital Revenue Cycle Implementation Initiatives, Internal/External Audit Assistance, Engaging Legal for Collection Issues
• Customer Service (phone, mail and/or e mail) – point of escalation

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform the job.

Significant experience (8 years) in A/R Management and/or Managed Care contracting and analysis as well as experience directing a multi-facility business office

BA/BS in Business, Health Administration or related degree preferred.

#LI-TR1

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.