About the Role
Title: Financial Business Systems Analyst (Remote)
Location: United States
Job Description:
Overview
Here at Cedars-Sinai, our projects represent a new age in medical research and innovation, and we’re proud of the progress our team continues to make. Together, we can match the right treatment to the right patient at the right time for the best possible outcomes.
- Full Time
- Level: Mid
- Travel: No
- Glassdoor Reviews and Company Rating
Success Profile
What makes a successful IT professional at Cedars-Sinai? Check out the traits we’re looking for and see if you have the right mix.
- Digitally savvy
- Efficient
- Independent
- Problem-solver
- Strategic
- Versatile
Responsibilities
Requisition # 6619
Job Description
Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We off an outstanding benefit package that includes paid time off, great healthcare, and a 403(b).
What will I be doing in this role?
The Financial Business System Analyst will have the primary responsibility of assisting in data analysis, solution definition, applications development and maintenance and enhancements for finance, claims processing, revenue management, and billing systems. Primary duties include:
- Automate reports and write ad-hoc reports based on the available data. Analyze process and data flows from other system(s) to ensure timely, accurate and consistent data transfer.
- Find opportunities to streamline processes and improve operational efficiency.
- Assist in the design and implementation of new systems or software solutions.
- Maintain reports and dashboards for revenue cycle performance tracking.
- Conduct system testing to ensure functionality and reliability.
- Work closely with cross-functional teams, including finance, information services, and operations, to ensure alignment on revenue cycle initiatives.
- Monitor and analyze claims data sent to the clearinghouse, including resolution of discrepancies in claim submissions.
- Ensure accurate data submission and resolve discrepancies in claim submissions.
- Maintain interim claim billing profile.
- Generate regular reports on claims status, rejections, and payments for partners.
- Address inquiries and provide support regarding claims processing and clearinghouse operations.
- Implement corrective actions for any identified issues in the claims process. Conduct regular audits of claims data to ensure accuracy and compliance.
- Manage specific Payer Revenue Management (PRM) Claim Edit work queues (WQs) and WQ maintenance.
- Submit tickets for new edit or claim form requests
- Maintain late charge profile.