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). Join us! Discover why U.S. News World Report has named us one of America’s Best Hospitals.

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.

Maintaining 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.

Qualifications

Requirements:

High school diploma or GED required. Bachelor’s degree in computer science, management information systems (MISD) business or another related field preferred.

A minimum of 5 years’ experience in managing healthcare revenue cycle system and software, system analysis or data processing activities required.

A minimum of 5 years of Epic Revenue Cycle applications and clearinghouse experience preferred.

EPIC certification in Hospital and Physician billing preferred

Skills/Experience Sought:

Knowledge of programming languages such as SQL, HTML and Visual Studio.

Experience with SQL Server, Oracle, MS Access.

Experience using Power BI, Crystal Reports.

Good written and oral communications skills.

Why work here?

Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.

Req ID : 8272

Working Title : Financial Business Systems Analyst

Department : CSRC Support Services

Business Entity : Cedars-Sinai Medical Center

Job Category : Information Technology

Job Specialty : Business Sys System Analysis

Overtime Status : EXEMPT

Primary Shift : Day

Shift Duration : 8 hour

Base Pay : $98134.40 - $157019.20

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.