Receivables Management Analyst

Brown Medicine

4d•$67,725 - $111,717•Hybrid

About The Position

SUMMARY: The Receivables Management Analyst plays a critical role in managing and optimizing Hospital Receivables operations. The role involves advanced data analysis, process improvement, and collaboration across departments to support financial performance and revenue integrity. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Assists the Supervisors, Managers and Claim Director in compiling any necessary statistics needed for follow-up activities. Advanced Excel modeling (pivot tables) Continually evaluates workflow and identifies opportunities to improve process for full and complete payment for all hospital services rendered to patients. Ensures accuracy, efficiency and integrity of all information systems pertaining to Government payers as well as Blue Cross and Worker’s compensation. Responds to requests from various hospital personnel related to Medicare or Medicaid regulations as it applies to hospital and professional billing and reimbursement providing supporting resource information. Ensures Medicare and Medicaid 838 and 3 day overlap reports are accurately completed as required by federal regulation to ensure no interruption to Medicare and Medicaid monies paid to each affiliate. Creates month end aging reports and summaries Ensures all shared interdepartmental accounts receivable related files are completed accurately and referred to the appropriate department to ensure timely claims processing. Creates, generates and maintains ad hoc reports as requested by Supervisor or Director to assist in the daily operation of the department. Coordinates all assigned activities between Lifespan and its Contracted Billing Agency for Out of State Medicaid billing and accounts receivable. Participates in staff meetings, councils, quality improvement teams and other such meetings and committees as required. Develops and maintains working relationships with Lifespan affiliate departments as needed to ensure fully data exchange. Responsible for completing spreadsheets needed to respond to internal and external audits. Maintains up to date knowledge of changes in regulations that impact claims processing Performs other duties as necessary. WORK LOCATIONS/EXPECTIONS: After orientation at the Corporate facilities, work is performed based on the following options approved by management and with adherence to a signed telecommuting work agreement and Patient Financial Services Remote Access Policy and Procedure. Full time schedule worked in office Full time schedule worked in a dedicated space in the home Part time schedule in office and in a dedicated space within the home Schedules must be approved in advance by management who will allow for flexibility that does not interfere with the ability to accomplish all job functions within the said schedule. Staff are required to participate in scheduled meetings and be available to management throughout their scheduled hours. Staff must be signed into Microsoft Teams during their entire shift and communicate with Supervisor as directed. MINIMUM QUALIFICATIONS: After orientation at the corporate facilities, work is performed based on the following options approved by management and with adherence to a signed telecommuting work agreement and Patient Financial Services Remote Access Policy and Procedure.. Full time schedule worked in office Full time schedule worked in a dedicated space in the home Part time schedule in office and in a dedicated space within the home Schedules must be approved in advance by management who will allow for flexibility that does not interfere with the ability to accomplish all job functions within the said schedule. Staff are required to participate in scheduled meetings and be available to management throughout their scheduled hours. Staff must be signed into Microsoft Teams during their entire shift and communicate with Supervisor as directed.

Requirements

Education: Bachelor’s degree in finance, Accounting, Healthcare Administration, or related field preferred.
EXPERIENCE: 5+ years in hospital billing or revenue cycle management.
Strong knowledge of UB-04 & 1500, CPT/ICD coding, DRG, and payer reimbursement methodologies.
Strong knowledge of hospital and professional billing workflows.
Skills: Advanced proficiency in hospital billing systems (Epic, SSI) and MS Excel.
Strong knowledge of hospital and professional billing workflows.
Strong analytical, leadership, and communication skills.
Experience with EHR systems (Epic certification preferred).

Responsibilities

Assists the Supervisors, Managers and Claim Director in compiling any necessary statistics needed for follow-up activities.
Advanced Excel modeling (pivot tables)
Continually evaluates workflow and identifies opportunities to improve process for full and complete payment for all hospital services rendered to patients.
Ensures accuracy, efficiency and integrity of all information systems pertaining to Government payers as well as Blue Cross and Worker’s compensation.
Responds to requests from various hospital personnel related to Medicare or Medicaid regulations as it applies to hospital and professional billing and reimbursement providing supporting resource information.
Ensures Medicare and Medicaid 838 and 3 day overlap reports are accurately completed as required by federal regulation to ensure no interruption to Medicare and Medicaid monies paid to each affiliate.
Creates month end aging reports and summaries
Ensures all shared interdepartmental accounts receivable related files are completed accurately and referred to the appropriate department to ensure timely claims processing.
Creates, generates and maintains ad hoc reports as requested by Supervisor or Director to assist in the daily operation of the department.
Coordinates all assigned activities between Lifespan and its Contracted Billing Agency for Out of State Medicaid billing and accounts receivable.
Participates in staff meetings, councils, quality improvement teams and other such meetings and committees as required.
Develops and maintains working relationships with Lifespan affiliate departments as needed to ensure fully data exchange.
Responsible for completing spreadsheets needed to respond to internal and external audits.
Maintains up to date knowledge of changes in regulations that impact claims processing
Performs other duties as necessary.