Business Systems Analyst - Revenue Cycle Solutions
Preferred Qualifications:
- High degree of knowledge in insurance policies, managed care guidelines and relevant information affecting patient financial estimates
- Proficient knowledge in insurance verification, prior authorizations and insurance benefits
- Knowledge of diagnosis and procedure codes and their relation to insurance benefits and patient estimates
- Ability to work independently while maintaining effective communications with clinical services and patients
- Experience with quality audit workflows and complex problem resolution
Minimum Qualifications:
Bachelor’s degree or equivalent and 1 year related experience
Job Summary:
To participate in the design, development, testing, implementation and maintenance of business systems and processes based on the departmental function. Uses information technology to provide reporting and analysis in support of current and future business environment as required according to institutional guidelines.
Job Duties:
- Designs and develops simple to moderately complex reports and documents for existing business processes and business rules using information systems. May require creating new databases or using existing ones.
- Modifies processes to solve business issues utilizing current information systems.
- Uses the application of technology to support current and future business environment; works independently or with appropriate information technology staff.
- Assists in the development of high-level project definition and cost assessment of projects.
- Prepares detailed functional specifications from high-level project definition.
- Assists with the design and development of user test plans for new or enhanced business systems. Participates in user testing and coordinates results with appropriate information technology staff.
- Partners with customers to facilitate oral and written communications, including the design and delivery of presentations.
- Trains users in new procedures and systems. May design and develop simple to moderately complex training materials.
- Participates as team member.
- Adheres to internal controls and reporting structure.
- Performs related duties as assigned.
Salary Range:
Actual salary commensurate with experience.
Work Schedule:
Monday through Friday, 8am to 5pm and as needed on occasion.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
