Senior PBS Analyst
Portland, OR - USA
Job Summary
The Legacy mission of making life better for others influences everything we do from patient care to business processes. You can be a part of that mission by initiating and supporting the financial decisions and goals of our patient billing services department. As you design and maintain electronic files assuring that adequate revenues and levels of reimbursement are obtained youll grow professionally and personally in a compassionate and supportive healthcare community.
- Initiates and supports financial decisions and goals via information management and data analysis.
- Provides direct support to Revenue Cycle management team as well as lead and line staff positions.
- Promotes system compatibility and ensuring focus on compliance and cooperative efforts to achieve overall team goals.
- Design and maintain computer files across systems to ensure all regulatory requirements are met as well as the requirements of other external and internal payors regulatory agencies and clinical departments.
- Monitors extracts and analyzes financial data to ensure adequate revenues and levels of reimbursement.
- Support develop perform and oversee system interface and upgrade testing across multiple computer systems.
- Assists clinical departments in operating analysis provides input and suggestions into this function regarding volumes pricing productivity and reimbursement to ensure financial viability.
Education:
- Bachelors Degree in Business Healthcare Administration Information Systems Computer Science or equivalent degree OR equivalent experience in healthcare business operations financial management business analytics information systems or revenue cycle operations required.
- Masters degree preferred.
Experience:
- Three years experience in systems and/or financial analysis/programming or similar business process support functions required in addition to academic degree (bachelors or above).
- The experience requirement may be met with seven years of experience in lieu of an academic degree.
- Prior information system support or implementation experience required.
- Prior hospital or health care experience with emphasis on workflow and procedures operations management financial management and reimbursement issues required.
- Quality Assurance project management and leadership skills required.
Skills:
- Ability to promote/support management with data; creation of reports recommendations on data structures for existing or new applications including product design file/table maintenance etc. using the following languages or programs (depending on assignment):
- Microsoft Office Suite (Excel PowerPoint Teams Visio etc.)
- Epic
- Clarity
- Power BI
- FinThrive ReimbursementVitalWare
- Electronic claims management products
- Huron/Stockamp TRAC
- Advisory Board Compass (ROC)
- 3M
- Excellent analytical skills to perform analysis and provide recommendations on pricing revenues and reimbursement.
- Excellent documentation skills.
- Strong written and verbal communication skills to work directly with all levels of staff and managements as well as liaison with consultants and system vendors.
- Strong organizational and prioritization skills.
- Excellent CQI skills with ability to redefine job functions and workflow.
Our Legacy is good for health for Our People Our Patients Our Communities Our World. Above all we will do the right thing.
If you are passionate about our mission and believe you can contribute to our team we encourage you to applyeven if you dont meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.
Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race color religion or creed citizenship status sex sexual orientation gender identity pregnancy age national origin disability status genetic information veteran status or any other characteristic protected by law.
To learn more about our employee benefits click here: Experience:
Senior IC
About Company
Legacy Health has six hospitals, a full-service children’s hospital, and over 70 clinics in Portland, OR and Vancouver, WA. Let’s keep you healthy!