Payor Analyst – RC - Revenue Cycle CPA Support - Maitland at AdventHealth

Date Posted: 7/27/2019

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Maitland, FL
  • Date Posted:
    7/27/2019
  • Job ID:
    284013
  • Job Family
    Accounting / Finance
  • Travel
    No
  • Shift
    Day
  • Application Zone
    2-Legacy System
  • Organization
    AdventHealth Central Florida

Job Description



Payor Analyst – RC - Revenue Cycle CPA Support - Maitland

AdventHealth Maitland seeks to hire a Payor Analyst – RC who will embrace our mission to extend the healing ministry of Christ.



Facility Profile:

Established in 1908, AdventHealth is one of the largest not-for-profit healthcare systems in the country, caring for more than a million patients each year. The 2,675-bed acute-care medical facility, comprised of nine hospitals, has been recognized by U.S. News & World Report as one of the best hospitals in the country for over 10 years. It serves as a community hospital for Greater Orlando and as a major tertiary referral hospital for Central Florida and much of the Southeast, the Caribbean and Latin America.



Work Hours/Shifts:

M-F; 8a-5p



Job Summary:

The Payor Analyst – Revenue Cycle serves the Revenue Cycle team by assisting in planning and coordinating all activities related to Payors, Health Plans, and Financial Classes with integration of Cerner Patient Accounting (CPA) build and design related operational processes. Works and communicates under general supervision of the Senior Manager and the guidance of the AdventHealth Leadership. Serves as a liaison and utilizes expertise while providing both operational and technical guidance. Monitors areas for current state and is actively involved in future planning and strategic development. This includes report development, program development, ongoing audits and quality improvement efforts. Consistently communicates and reports assignment status to management and involved team members, tracks assignments against proposed timelines, updates plans to reflect current progress, and escalates issues in need of further attention to the appropriate area with detailed and accurate information. Adheres to AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.



Knowledge, Skills, Education, & Experience Required:

  • Knowledge of Cerner Patient Accounting, Cerner Registration, Cerner reporting tools, PowerChart Electronic Medical Record (EMR), and healthcare regulations
  • Ability to manage assignments and ensure timely/accurate completion of project milestones, in order to ensure on-time assignment delivery
  • Self-motivated, self-confident and adaptable with a focus on customer service
  • Ability to use discretion when discussing personnel/patient-related issues that are confidential in nature, responsible to ever-changing matrix of hospital needs and acts accordingly
  • Ability to communicate professionally and effectively in English, both verbally and in writing
  • Ability to perform without close supervision
  • Proficiency in Microsoft Word, Excel, PowerPoint, and Visio
  • Ability to work efficiently and effectively under pressure and stress
  • Good knowledge of payor contract language
  • Ability to research and communicate interpreted data (Preferred)
  • Strong knowledge of system testing and quality assurance methodologies (Preferred)
  • Technical knowledge of current software solutions including report development (Preferred)
  • Bachelor’s Degree in healthcare field with 1 year working experience in Revenue Cycle Operations and/or System Support team or at least four years of working experience in Revenue Cycle Operations and/or Revenue Cycle System Support Department
  • One year of experience with Cerner Patient Accounting
  • Experience with Claims Scrubber system (SSI) (Preferred)
  • Experience managing projects and/or Six Sigma Lean Training (Preferred)
  • Change Management Certification (Preferred)
  • Experience coordinating Cerner Upgrades and/or system implementation (Preferred)



Licensure, Certification, or Registration Required:

  • N/A



Job Responsibilities:

Demonstrates through behavior AdventHealth’s Core Values of Keep Me Safe, Love Me, Make it Easy, and Own it as outlined in the organization’s Performance Excellence Program.
  • Maintains critical Payor Manual database information within specified time frames to ensure compliance and timely reimbursement. Ensures Payor Manual database provides any and all necessary information to all Revenue Cycle users, including but not limited to Patient Access and Pre-Access. Ensures archives of database are maintained for retro-review and audits.
  • Coordinates changes related to Payors, Health Plans and Financial classes with Revenue Cycle Operations, Corporate Patient Financial Services and AIT, analyzing operational requirements and system capabilities. Ensures the Cerner Patient Accounting build is up to date and correct. Aids with new functionality development with AIT, Cerner and Revenue Cycle Operations related to Payor, Health Plan and Financial Class build.
  • Interprets and understands all Payor based regulations, Medicare Bulletins and Guidelines.
  • Acts a liaison with Physician Medical Directors, Managed Care, Patient Access and Pre-Access Leadership and teams.
  • Responsible for all communication throughout the deliverable’s life cycle. Communicates verbally, in writing, or in presentation format, to all levels of Leadership.
  • Supports and collaborates with Education Team to enhance or update appropriate training programs. Provides education and helpful guidelines to Department Leadership. Performs audits of Health Plan profiles on a routine basis.
  • Responsible for ensuring EDI table in SSI is maintained and mapped appropriately to ensure accurate processing of claims.
  • Supports test planning, script development, execution and defect management for all appropriate CPA test cycles, including installations, upgrades, and related projects.
  • Serves as subject matter expert related to Payors, Health Plans, and Financial classes on AIT and Revenue Cycle Project teams as needed. Researches, provides information and completes assigned tasks to ensure project success.
If you want to be a part of a team that is dedicated to delivering the highest quality in patient care, we invite you to explore the Payor Analyst – RC opportunity with AdventHealth Maitland and apply online today.



Job Keywords:

Payor Analyst, RC, Revenue Cycle CPA Support, Maitland



Position Location:  Maitland
Job:  Accounting / Finance
Organization:  AdventHealth Central Florida
Primary Location:  US-FL-Maitland
Schedule:  Full-time
Shift:  Day
Job Level:  Staff / Associate
Education Level:  Bachelor's Degree
Travel:  No
Job Posting:  Jul 26, 2019, 8:43:55 PM

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