Patient Financial Services Systems Analyst /FT, day

Schedule: Mon - Fri, 8:00 am - 5:00 pm

At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve.



Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.



A Brief Overview
The Patient Financial Services (PFS) Systems Analyst is responsible for managing and/or coordinating organizational initiatives to optimize PFS workflows system functionality. PFS encompasses accounts receivable for insurance and self-pay as well as cash management for both the hospital and professional environment. Identifies opportunities for improvement in PFS and assists in determining which areas to prioritize based on the organization's current needs and future goals. Collaborates with a variety of internal and external stakeholders, including other revenue cycle teams, banking partners, Finance, IT, vendors, and more.

Essential Functions

• Serves as the PFS Expert managing and/or coordinating organizational initiatives to optimize PFS workflows and support the long-term goals.
  Create and maintain reports and perform analytics to identify opportunities and trends impacting key performance indicators.

  Evaluate and optimize PLB, RMC, and RMO mapping

  Produce staff productivity reporting

  Assist with daily cash reconciliation

  Define requirements for updating or changing existing and implementing systems including EHR, finance, banking, and vendor systems.

  Develop cross-initiative integration plans across multiple systems and support a variety of applications

  Participate in system analysis and in business/PFS projects, implementation of new application modules, enhance an existing component of the application, application upgrades or upgrades to technical components, implementation of a third-party product to work with application, and periodic internal releases of the application.

  Performs regular research to stay on top of industry best practices, technological and innovations to remain competitive, to include adoption of robotic process automation and AI solutions in the revenue cycle.

• Collaborate with the Revenue Cycle Management, information technology, and vendor partners on routine/maintenance and organizational objectives.
  Monitors and coordinates open issues for open tickets impacting PFS.

  Plan, prepare, document, and assist with application, integrated, and unit testing for PFS related functions.

  Identify opportunities to optimize PFS workflow and processes making recommendations as needed.

• Lead assigned PFS projects to ensure all targets are attained and due dates are met. Works across business and functional areas to assure alignment and implementation of processes. Works with project teams to document process flows and make recommendation for workflow optimization. These projects focus on:
  PFS assessments

  PFS process improvement

  Alignment and implementation of processes

Education Qualifications

• Bachelor's Degree from an accredited college or university in healthcare administration, information systems, business or related field required Required or
• equivalent work experience. Required

Experience Qualifications

• 5 years experience in healthcare billing, healthcare collections, healthcare finance, healthcare registration, or healthcare IT required. Required and
• 1 year experience in Information Technology Preferred and
• Previous Epic application experience and certification Preferred

Skills and Abilities

• Possesses comprehensive knowledge of hospital and clinic revenue cycle operations (High proficiency)
• Knowledge of hospital and physician billing cash posting requirements and standard practice. (High proficiency)
• Knowledge of the current healthcare climate, including managed care developments, HIPAA standards and governmental program regulations. (High proficiency)
• Knowledge of healthcare EMR workflow, preferably Epic (High proficiency)
• Skill in using Microsoft Office Suite, especially Visio and PowerPoint. (High proficiency)
• Ability to communicate effectively both verbally and in writing. (High proficiency)
• Knowledge of CPT, HCPCS and revenue codes and their effect on hospital reimbursement. (Medium proficiency)

Licenses and Certifications

• Must obtain job related certification with 9 months of hire and maintain the certification(s) for duration of employment in Revenue Cycle. Required
• Intermediate to Advanced knowledge of Excel and Word required. Required

Children’s is the very best for kids and the very best
for your career! At Children’s, we put YOU first so together, we can
improve the life of every child!