Medhost Revenue Cycle Analyst and Report Writer

e4health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated professional to join their team, focusing on enhancing healthcare solutions through advanced data management and system support. This role involves troubleshooting, report writing, and collaborating with various stakeholders to ensure the seamless operation of healthcare applications. The ideal candidate will possess strong analytical skills and a deep understanding of revenue cycle processes, particularly with Medhost. Join a passionate team committed to making a difference in healthcare, where your expertise will contribute to impactful solutions and improve patient care.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Short/Long Term Disability Insurance

PTO Policy

401(k) with Company Match

Qualifications

• 3-5 years of experience in a healthcare environment.
• Experience supporting Medhost specifically in Revenue Cycle.
• Strong analytical and technical skills.

Responsibilities

• Provide support and maintenance for production applications.
• Identify and resolve complex data and system issues.
• Communicate effectively with clients and prioritize tasks.

Skills

Medhost

Data Analysis

Report Writing

Problem Solving

Project Management

Communication

Education

Bachelor's in Computer Science

Bachelor's in Information Systems

Bachelor's in Business

Tools

Medhost

Job description

Job Description

ABOUT US

At e4health, we Empower Better Health. The e4health Team is on a relentless mission to care for those teams who care for others. We bring our passion, ingenuity, and expertise to every engagement. In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and financial value across healthcare.

Our People make the difference. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. e4health solutions streamline clinical, financial, and health information data and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health.

JOB SUMMARY/ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Provides routine support and maintenance support to current production, and non-production, applications as assigned
• Identifies, analyzes, and resolves data and system issues of advanced complexity
• Assist with Revenue Cycle related design, build and maintenance
• Triage and troubleshoot issues, provide recommendations for resolution, and execute remediation plans
• Ability to write reports in Medhost, specifically Revenue Cycle based
• Ability to extract and/or run Medhost reports is required
• Gathers requirements, develops specifications, prepares, and reviews documentation
• Develops, validates, and executes comprehensive test plans
• Communicates effectively, negotiates changes, and assists in prioritization of tasks with client
• May be considered the Subject Matter Expert in their area of application or domain
• Provide knowledge transfer and mentoring to team members as necessary
• Understands and complies with all enterprise and IS departmental information security policies, procedures, and standards
• Works with key project team members to define requirements, design the functional solution, identify and resolve project issues, and ensure the IT solution meets requirements
• Builds positive relationships with business operations, IT&S leadership, and vendors
• Documents requirements defines scope and objectives, and formulates systems to parallel overall business strategies

Client Required Qualifications

REQUIRED QUALIFICATIONS:

• Bachelors in Computer Science, Information Systems, Business, or other Health Care related field or equivalent experience
• Relevant experience of 3-5 years within a healthcare environment
• Minimum 3-5 years experience supporting Medhost, specifically in Revenue Cycle
• Must understand Medhost Revenue Cycle
• Must have ability to pull reports from Medhost
• Must have understanding and knowledge to write custom reports and/or extracts to pull Revenue Cycle data from Medhost
• Relevant Information Systems analyst experience of 3-5 years
• Able to establish and meet delivery dates
• Ability to manage multiple projects and issues adjusting priorities as needed
• Strong analytical and technical skills with ability to analyze issues, assess technical risks, and recommend sound solutions in a timely manner
• Adeptness to learn new assignments, technologies, and applications quickly and manage multiple assignments simultaneously
• Strong problem and issue resolution experience and create quality deliverables

KEY SUCCESS ATTRIBUTES:

• Integrity, passion, and ethics are required
• Demonstrates strong collaboration skills
• Has strong analytic and problem-solving abilities and techniques
• Exhibit consistent initiativewith strong drive for results and success
• Demonstrate commitment to a team environment
• Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail
• Ability to self-motivate and self-direct
• Possess strong time management and organizational skills
• Commitment and adherence to company Core Values

CORE COMPETENCIES:

• High level of integrity & ethical judgement
• Communication
• Consistency and Reliability
• Meeting Standards

DATA EXTRACTS NEEDED:

Data Needed

Extract of all scheduled outpatient appointments for Hospital -- go-live forward

Extract of all wait list appointments (recall)

Extract of all authorizations for scheduled appointments for Hospital and AHMG -- go-live forward

See Claims Remits Data Abstraction Needs tab

835 Hospital Billing/Professional Billing Claims examples

837 Payment files

Payers/Plans

Average Daily Census by unit by month for a rolling 12 month period

Facility needs export of EAF and DEP (Parent Locations/Revenue Locations/Departments)

Revenue Cycle Edits/Work Items/Workqueues & Rule Logic behind those edits/WQs

Revenue & Usage for last 6 months including department, cpt, rev code, payer, total volume, dollars/pricing

Cost Center Assignment by Department/Service Line with any applicable rule logic

GL Chart of Accounts and GL String Pattern with any applicable rule logic

Fee Schedule(s) & Fee Schedule Assignment Logic: Include pricing, CPT, Rev Code, and any payer specific coding (Alt CPT/Rev Code by Payer)

Client Orgs/Records and Client Fee Schedule Assignment Logic or flat rate discounting/adjustment % applied

Agencies/Vendor extract files (ed: Bad Debt, Early Out, vendors etc.)

Consecutive Account Logic: Include Payers with Base Class/Account Class and days between admission requirements (ex: Medicare 72Hr Combine Logic)

Revenue with 6 months of data for Revenue tracker

AR activity for graph package

If Epic to Epic, we would like an extract of their plan mapping

If not using Epic but are using Experian, would like an extract of their bad plan codes

Charge Tables/Markups

Additional Information

BENEFITS (ELIGIBLE TO FULL TIME EMPLOYEES ONLY):

We offer an excellent salary, medical, dental, vision, life, short/long term disability insurance, and PTO policy.

401(k) ELIGIBILITY:

e4health offers a retirement benefits package including 401(k) with company match.

• Full-time employees will be eligible to contribute to a 401(k)-retirement account after successfully completing 90 days of employment.

• Part-time employees will be eligible to contribute to a 401(k)-retirement account after completing 250 hours of worktime.

PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:

Sitting, talking, hearing and near vision are required over 90% of the time. Feeling is requiredover90% of the time and reaching is required about 50% of the time. The ability to travel to field sites may be required up to 15% of the time.

WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:

Over 90% of the time is spent indoors, with protection from weather conditions. Exposure to noise levels that may be distracting or uncomfortable is present in only unusual situations.

PAY RANGE

Pay range for this position is $55-85/hr.

e4health is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

At our organization, we believe in the principles of pay transparency to foster a fair and equitable workplace for all employees. In alignment with this commitment, we openly communicate salary ranges, bonus structures, and additional financial benefits associated with each position. We believe that transparency in compensation not only promotes trust and accountability but also helps mitigate wage gaps and biases. By providing clear and comprehensive information about compensation in our job descriptions, we aim to create a transparent and inclusive environment where all employees feel valued and respected. Join us in building a culture of fairness and transparency as we strive for excellence together.