Patient Financial Services Business Analyst

Inova Health System; Falls Church (VA); Hybrid; USD 75,000 - 110,000; Full time

Job summary

Inova Health System in Falls Church, VA is seeking a Patient Financial Services (PFS) Business Analyst for a full-time hybrid role. Local candidates to Northern Virginia are expected to provide on-site support across Inova locations.

The analyst will lead projects, analyze denials, and drive improvements in case management and care coordination through data-driven insights. The role requires 1 year of Revenue Cycle/data analytics experience, and a Bachelor or Associate degree (or HS diploma with

Qualifications

• 1 year experience in Revenue Cycle, data analytics, or relevant professional experience
• Bachelor or Associate degree plus 4 years of experience or HS Diploma/GED plus 8 years of experience
• Certification - Not required
• Licensure - Not required

Responsibilities

• Develops subject matter expertise on assigned core business areas including feasibility analysis, technical guidance, data analysis/reporting, and workflow analysis.
• Identifies, documents, measures, monitors and recommends improvements to automated and non-automated business processes with stakeholders in case management and care coordination.
• Supports initiatives to improve continuum of patient care through better alignment of workflows with technology and data-driven evaluation.
• Prepares denial data analysis/reporting and workflow analysis for PFS leadership including initial denials, write-offs, and recoveries.
• Supports the implementation of system denial prevention initiatives.
• Creates and analyzes data to support outcomes, interprets data, develops recommendations, and implements strategies to maximize denial goals.
• Supports creation, implementation, and monitoring of process improvement plans using business analysis and project management principles.
• Facilitates implementation of improvement plans and new initiatives with sound project management principles.
• May perform additional duties as assigned.

Skills

Revenue Cycle

Data analytics

Project management

Education

Bachelor or Associate + 4 years experience

HS Diploma/GED + 8 years experience

Job description

Patient Financial Services Business Analyst

Falls Church, VA, United States

Job Description

Inova Health | Patient Financial Services (PFS) Business Analyst | Fulltime | Hybrid (expected to provide on-site support to all Inova locations). Must be local to Northern VA

The Patient Financial Services (PFS) Business Analyst coordinates, directs, leads, and manages departmental projects and activities to achieve strategic objectives. Creates strong project momentum and collaboration with stakeholders, staff, and leadership to achieve meaningful denial rate reductions. Leads and manages departmental activities to achieve Inova Health System's mission and strategic objectives while creating strong project momentum and building stakeholder ownership. Demonstrates the knowledge, skills, and abilities required to perform/grow as a subject matter expert on commercial/government denials including, but not limited to, feasibility analysis, technical enhancements, thorough understanding of available software, data analysis/reporting, workflow analysis as well as recommendations for improvement. Supports the implementation of improvement plans and new initiatives, as well as the promotion of sound business analysis and project management principles.

Job Responsibilities

• Develops subject matter expertise on assigned core business areas including, but not limited to, feasibility analysis, technical guidance, thorough understanding of available software, data analysis/reporting, and workflow analysis.
• Identifies, documents, measures, monitors and recommends improvements to automated and non-automated business processes, in collaboration with stakeholders, in the core areas of case management and care coordination.
• Supports initiatives to improve the continuum of patient care through better alignment of workflows with technology, recommending best courses of action, and using objective evidence to evaluate impact.
• Prepares denial data analysis/reporting and workflow analysis for Patient Financial Services (PFS), system-level leadership, and stakeholders including initial denials, write-offs, and recoveries.
• Supports the implementation of system denial prevention initiatives.
• Creates and analyzes data to support outcomes. Interprets data, develops recommendations, and implements strategies designed to maximize the achievement of PFS denial goals.
• Supports the creation, implementation, and monitoring of process improvement plans by using strong business analysis and project management principles.
• Facilitates the implementation of improvement plans and new initiatives as well as the promotion of sound business analysis and project management principles.
• May perform additional duties as assigned.

Required Qualification

• Experience - 1 year experience in Revenue Cycle functions, data analytics, or relevant professional experience
• Education - Bachelor or Associate and 4 additional years of experience or HS Diploma/GED and 8 additional years of experience
• Certification - Not required
• Licensure - Not required

Preferred Qualification

• Experience - Payment card industry (PCI) experience or IT security experience

About Us

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.