Business Analyst Revenue Cycle - NOT a remote position

Job Title:                    Business Analyst Revenue Cycle       

Job Code:                   BA RC 

Department:              Accounting                       

Division:                     Finance

Salary Level:             Exempt 4                                                   

Report To:                 Controller

Last Revised:             March 2025

Primary Function

The Business Analyst will play a crucial role in analyzing net patient service revenues, ensuring effective billing practices, and calculating unbilled revenue and contractual allowances. They will be responsible for the billing revenue calculation for Cherokee Indian Hospital (CIHA) and need to quickly understand data challenges related to the Accounting Software

Job Description

• Monitors and maintains business processes.  This includes the integrity of the data management system and the RPMS system.
• Calculates the value of unbilled net patient service revenue.
• Calculates the contractual allowance to apply against net patient service receivables.
• Prepares reports on net patient service revenue trends and details requested by the Controller and CFO.
• Prepares documentation for our annual audits.
• Prepares comprehensive reports on revenue cycle performance, including trends, insights, and recommendations for improvements.
• Utilizes data analysis tools to monitor and report on key performance indicators related to revenue cycle management.
• Maintains constant communications with the Controller to advise and inform.
• Maintains all reports, records, files and logs as required.
• Helps create annual revenue budget for billing revenues.
• Performs all duties according to established safety guidelines and CIHA policies.
• Performs other duties as required by supervisor.

Education/Experience

• A Bachelor of Science degree in Bachelor’s degree in Finance, Accounting, Business Administration, or a related field.
• Must have a minimum of 3-5 years of experience in revenue cycle management within the healthcare industry
• Certified Revenue Cycle Specialist (CRCS) or Certified Healthcare Financial Professional (CHFP) is a plus.
• Nine to 12 months would be necessary to become proficient in most phases of the job.

Job Knowledge

• Must be proficient in data analysis tools and software, such as Excel and healthcare billing systems.
• Must have a strong understanding of healthcare billing processes, payer agreements, and regulatory requirements
• Be able to demonstrate excellent analytical and problem-solving skills with the ability to interpret complex data and provide actionable insights
• Requires the ability to maintain specified records, documents/reports.
• Must have a high attention to detail and accuracy in calculations and reporting.
• Requires strong communication and interpersonal skills to effectively collaborate with cross-functional teams.
• Must be able to work independently and as a member of a team.

Complexity of Duties

Develops new systems to meet accounting and related financial reporting requirements. Constantly evaluates and modifies existing systems to meet operational requirements. Must understand all ramifications and effects of any changes to systems. Must use problem-solving skills and be able to analyze data in performing job duties.

Supervision Received

Works under the general guidance of the Controller of CIHA within established guidelines for divisional accounting procedures. Has latitude for independent thinking in the attainment of goals and objectives.

Responsibility for Accuracy

Deals with exact and precise figures/data. Most errors would be detected within the accounting systems and proofing procedures. This position provides financial data to the CIHA on which operational of financial decisions are based. Undetected errors could range from minor to significant in effect. Responsible for the accuracy of work of subordinates.

Contacts with Others

Has frequent contact with Controller, coworkers, CIHA directors, auditors, governmental agency employees, vendors and the general public to exchange or provide information. Tact, decorum and professional etiquette are required in the exchange of information.

Confidential Data 

Has access to most CIHA financial data, vendors, personnel files, memos and financial standing of affairs. A part of the financial information is public record; however, much is not and should be kept confidential. Must adhere to all CIHA confidentiality policies and procedures.

Mental/Visual/Physical Effort

Close concentration and attention to detail are required for sustained periods of time. Subject to frequent interruptions requiring varied responses. Job duties routinely require visual acuity, manual dexterity and the ability to speak, hear, walk, sit, stand, bend, and reach with arms and hands. May occasionally move more than 15 pounds.

Environment

Works in a normal business office setting with occasional visits to outside locations.

Customer Service

Consistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA’s guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.