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Data Analytics Quality Assurance Analyst (Revenue Cycle/Patient Access)

Job ID: 239880
Work Type: FT
Location: Lawrenceville, NJ, United States

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Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary:

  • Under supervision of the Data Analytics & Quality Assurance Manager and with guidance from the Data Analytics & Quality Assurance Senior Analyst this role is responsible for reviewing the quality of work completed by Revenue Cycle Departments and providing department leadership with the results. This role will work with department management to develop and implement corrective action and/or additional training as needed. They are responsible to provide the data and analytics necessary to improve process workflow in order to achieve the most efficient staffing levels and meet or exceed Revenue Cycle Dashboard metrics such as Days in Accounts Receivable, Cash Collections and Denials. In addition, the analyst is responsible for submission, evaluation, corrections and education of state regulatory mandates.

Responsibilities:

  • Consistently reviews the performance of completed work of Patient Access, Central Scheduling, OR Scheduling, Candidate for Billing and Insurance Verification teams. Adheres to Quality Assurance measures and metrics which report trends or process improvement opportunities for each project, office and Revenue Cycle Department. Designs/Develops Quality Assurance materials including electronic scorecard, individual quality assessments, and building quality dashboards in the EHR. Provides communication to leadership regarding quality monitoring results, and identifies and/or recommends training needs and deficiencies and project improvement plans. Provides support to in-house and outsourcing vendors for legacy systems. NJDDCS State Reporting - Responsible for accurate and timely NJDDCS state reporting. Back up for transmittal of daily NJDDCS populations for state reporting. Monitor the error report in PCG to ensure timely correction of errors by PFS and HIM staff. Provide root cause analysis of errors brought forward by PFS and HIM staff and provide resolution. Work with vendor to resolve issues that cannot be resolved internally. Do quarterly and annual account reconciliation to ensure that all reportable accounts have been transmitted to the state. Communicate reconciliation results and findings to relevant management/technical staff.

Credentials:

    Education or Equivalent Experience:

    • Hospital Experience in Patient Access or Hospital Billing/Follow Up (preferably patent access)
    • Intermediate experience with Excel & Pivot Tables
    • Must live in either PA or NJ
      We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

      Live Your Life's Work

      We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

         Current UPHS employees must apply HERE
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