PAYMENT & REFUND ANALYST

Overview

The Payment and Refund Analyst will work collaboratively with operations leadership to streamline workflows, implement solutions to increase efficiencies and reduce manual work for the payments and refund teams. This role will serve as a liaison with third party vendors to coordinate training, communicate with impacted team members regarding functionality changes, and assist with troubleshooting. The Analyst will be responsible for developing processes to monitor key performance indicators, ensuring regulatory compliance with refunds, assessing workflows and leading process improvement projects.

Position Reports To: Director of Revenue Integrity

Responsibilities

1. Reviews, evaluates and recommends workflow processes for payments posting and refund tasks.

2. Partners with EPIC Analysts to understand and identify opportunities to optimize workflows, system build functionality and streamline processes through automation of rules as applicable.

3. Serves as a liaison with third party vendors to coordinate systems training, troubleshooting, and updating users on system improvements.

4. Assists with the development and build of dashboards/reporting tools to effectively monitor productivity metrics.

5. Assist with implementation of new technologies to streamline adoption and assist with ongoing education as needed.

6. Provides analysis and progress updates on efforts to Revenue Cycle Leadership.

7. Monitors key performance metrics, addresses issues in a timely manner to improve performance and resolve issues in partnership with business office leadership.

8. Maintain up-to-date knowledge of industry compliance to ensure refunds are processed timely and payment posting is accurate.

9. Performs other duties as assigned.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Qualifications

Required:

• High school graduate or equivalent.
• Minimum of four years in Revenue Cycle hospital/professional billing and/or payments and refunds processing.
• Industry certification such as CPC, CPB, CRC.
• Proficient in basic computer skills and Microsoft Office products.
• Maintain a positive, resourceful attitude toward achieving overall department and organizational goals.
• Ability to multitask and prioritize workload.
• Ability to work independently and be a self-starter.
• Ability to collaborate with others as part of a team.
• EPIC billing and/or coding experience.

Desired:

• Associate Degree (AA).
• Epic certification.