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Revenue Cycle Analyst

Baylor St Luke's Medical Group Houston, Texas
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The posted compensation range of $26.51 - $38.44 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2025-402371 Employment Type Full Time Department Revenue Cycle Management Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday 8:00am - 5:00pm Remote Yes Category Accounting and Finance Travel No
Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.


Responsibilities

This job is responsible for developing in‐depth and complex financial analyses in support of the Texas Division Physician Enterprise Revenue Cycle function and for the development/maintenance of advanced ad hoc reports/databases consistent with industry standards, internal policies/procedures and general requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, coding and clinic customer service. An incumbent interprets/analyzes report content and develops presentations for key stakeholders, including providers, clinic management and organizational leadership. Strong communication, analytical and critical thinking skills are required for timely report generation/distribution through use of computer‐based applications and data. Work also includes: 1) developing/maintaining Key Performance Indicator (KPI) dashboards, reimbursement and payer mix analyses and clinic/business operational reports; 2) interpreting/explaining report findings to clinic management/organizational leadership and recommending process improvements; 3) serving as principle liaison between business operations leaders and Information Technology (IT), facilitating technology/tools enhancements and system maintenance/modification; and 4) providing training/guidance to other Revenue Cycle staff with regard to reporting, analytics and related tools.

1. Gathers information for various financial projects, including payer contract negotiations, payment variance analysis, and reimbursement analysis; runs ad hoc reports as needed; performs in‐depth analysis; summarize results and recommendations.
2. Identifies, researches and resolves (within position scope) unusual, complex or escalated issues through critical thinking and problem solving skills; notifies Manager/Director of ongoing issues and concerns.
3. Independently performs complex research, compiles financial analyses, and develops detailed spreadsheets and presentations; prepares in‐depth analyses focused on accuracy, reliability, and timeliness; provides/presents interpretation of findings to senior leaders, colleagues, clinic leaders , and/or physicians.
4. Develops analyses and reports to support key initiatives, including identification and recommendation of improvements to existing processes, with timely follow‐through as appropriate.

5. Monitors weekly performance metrics and completes root cause analyses to identify metric improvement opportunities related to regional revenue cycle activities.
6. Provides management with weekly/ monthly, quarterly, and annual updates/summaries of key performance indicators for identified departments.
7. Monitors ad hoc reporting requests and responds to/fulfill requests within pre‐determined service timeframes.
8. Analyzes department/team activities and trends and compares findings against the service standards and industry best practices.
9. Consolidate and analyze financial data to do comparative analyses (forecasting and variance analysis) taking into account company’s goals and revenue cycle financial standing.
10. Maintain department standard of productivity metrics related to claims processed, claims rejected, claims denied, collection volume and rates relative to fee schedules, patient payments, account write‐offs due to contractual issues and collections problems.
11. Provide assistance in creating and monitoring models that connect strategies to measures of performance that ensure successful reporting of revenue cycle AR Work with IT, Financial Data Warehouse, and Managed Care to develop dashboards and metrics tracking.
Other duties as assigned by management.


Qualifications

Required Education and Experience

Bachelor’s degree from an accredited University
*5+ years accounting, finance, finance analytics or similar experience with 3 years of experience in healthcare financial and revenue cycle analysis. Experience in Financial Reporting System ‐ People Soft, SQL, Essbase, Tableau, Lawson and Baseware.

Required Minimum Knowledge, Skills, Abilities and Training

Strong Data Mining/ Business Systems proficiency
Multidimensional Billing systems technology platforms – example: EPIC and Centricity experience.
3 plus years of work analysis experience supporting larger groups.
Ability to review and manage project based assignments.
Strong analytical and organizational skills.
Quantitative, with strong attention to detail and high degree of comfort with large data volumes.

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.