Business Systems Analyst II - Medical Billing

Top candidates will have two years of progressive experience in healthcare financial analysis, managed care contracting, or healthcare revenue cycle.

The Business Systems Analyst II will provide support in technical and process development areas for the purpose of enduring stability in business operations while also increasing efficiency and effectiveness through review, design, evaluation and implementation. This position is not responsible for providing care to patients.

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA

Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

Responsibilities

Essential Functions

• Reviews and analyzes user requirements to develop detailed functional specifications.
• Provides report development for business operations including design, validation, implementation and completion stages.
• Tests all results and suggest viable solutions and include system changes to meet specifications for owner, audience, definitions, frequency and estimation of cost before implementation.
• Builds queries and tests data to tie into metrics while identifying data location sources to determine data collection system creative narrative (pseudo code).
• Ties sample reports and record testing to the system and period end data stability and sign off.
• May review user approval criteria, permissions, and job scheduling.
• Completion of the data, maintenance, and revisions may include final sign off by business owner as required by area of assignment.
• Designs and maintains database queries which includes posting reusable sharable queries and organizes in the repository.
• May migrate data collection system from one environment to the other which may include SQL reporting services front end or VB NET with SQL tables, MS Access front end with local or SQL tables and data warehouse cubes.
• Generates and/or produces reports as necessary.

• Ability to analyze systems, recommend workflow adjustments and identify opportunity for business improvements.
• Ability to research, compile and document data, business processes and workflow.
• Ability to investigate and resolve operational issues.
• Ability to analyze and document business requirements.
• Ability to identify, gather and prepare statistical data.
• Ability to prepare training materials, desk procedures and manuals.
• Ability to facilitate training on existing processes and procedures.
• Ability to participate in testing and documentation cycles.
• Ability to participate in implementations and prepare internal communications.
• Demonstrates effective organizational, multi-tasking, interpersonal and communication skills.
• Working knowledge of PC skills including word processing, spreadsheet and database applications.

Qualifications

• Bachelor's degree in a related area or equivalency.

Qualifications (Preferred)

• Understanding of Hospital/Professional Billing and Epic
• Understanding of Fee Schedule’s and reimbursement rates across a variety of payers and service types.
• Able to Analyze reimbursement, of specific service lines, healthcare programs, and medical procedures.
• Expert level knowledge of Excel
• Working knowledge of reimbursement methodologies used in hospital, physician, and ancillary contracting.

Employee must be able to meet the following requirements with or without an accommodation.

• This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Listening, Sitting, Speaking