Payment & Refund Analyst

Confluence Health; Wenatchee (WA); On-site; USD 80,117,000 - 125,276,000; Full time

Benefits offered by this job

Medical, Dental & Vision Insurance

Flexible Spending Accounts & Health SP

Paid Time Off

Retirement Plans

Life Insurance

Long-Term Disability

Gym Membership Discount

Tuition Reimbursement

Employee Assistance Program

Adoption Assistance

Shift Differential

Job summary

Confluence Health in Washington state is seeking a Payment and Refund Analyst to streamline payments and refunds workflows and to coordinate with vendors on system enhancements. You will help monitor KPIs and ensure regulatory compliance while supporting ongoing process improvements across the Revenue Integrity function.

The role reports to the Director of Revenue Integrity and requires strong EPIC experience, four years in revenue cycle activities, and the ability to work collaboratively in a

Qualifications

• High school diploma or equivalent required.
• Minimum four years in Revenue Cycle hospital/professional billing and/or payments and refunds processing.
• Industry certification such as CPC, CPB, CRC.
• Proficient in basic computer skills and Microsoft Office.
• Maintain a positive, resourceful attitude toward achieving department goals.
• Ability to multitask and prioritize workload.
• Ability to work independently and be a self-starter.
• Ability to collaborate with others as part of a team.
• EPIC billing and/or coding experience.

Responsibilities

• Review, evaluate and recommend workflow processes for payments posting and refund tasks.
• Partner with EPIC Analysts to optimize workflows and automate rules where applicable.
• Liaise with third party vendors for training and system improvements.
• Assist with dashboards/reporting tools to monitor productivity metrics.
• Support new technologies to streamline adoption and ongoing education.
• Provide analysis and progress updates to Revenue Cycle Leadership.
• Monitor KPIs and address issues with leadership to improve performance.
• Maintain knowledge of industry compliance to ensure timely refunds and accurate posting.
• Perform other duties as assigned.

Skills

Revenue Cycle knowledge

Billing & refunds processing

EPIC experience

Multitasking

Teamwork

Independent work

Computer skills

Education

High school diploma

EPIC certification

Associate degree (AA)

Job description

Salary Range

$27.96 - $43.72

Overview

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Employees of Confluence Health receive a wide range of benefits in addition to compensation.

• Medical, Dental & Vision Insurance
• Flexible Spending Accounts & Health Saving Accounts
• Paid Time Off
• Generous Retirement Plans
• Life Insurance
• Long-Term Disability
• Gym Membership Discount
• Tuition Reimbursement
• Employee Assistance Program
• Adoption Assistance
• Shift Differential

For more information on our Benefits & Perks, click here!

Summary

The Payment and Refund Analyst will work collaboratively with operations leadership to streamline workflows, implement solutions to increase efficiencies and reduce manual work for the payments and refund teams. This role will serve as a liaison with third party vendors to coordinate training, communicate with impacted team members regarding functionality changes, and assist with troubleshooting. The Analyst will be responsible for developing processes to monitor key performance indicators, ensuring regulatory compliance with refunds, assessing workflows and leading process improvement projects.

Position Reports To: Director of Revenue Integrity

Essential Functions

1. Reviews, evaluates and recommends workflow processes for payments posting and refund tasks.
2. Partners with EPIC Analysts to understand and identify opportunities to optimize workflows, system build functionality and streamline processes through automation of rules as applicable.
3. Serves as a liaison with third party vendors to coordinate systems training, troubleshooting, and updating users on system improvements.
4. Assists with the development and build of dashboards/reporting tools to effectively monitor productivity metrics.
5. Assist with implementation of new technologies to streamline adoption and assist with ongoing education as needed.
6. Provides analysis and progress updates on efforts to Revenue Cycle Leadership.
7. Monitors key performance metrics, addresses issues in a timely manner to improve performance and resolve issues in partnership with business office leadership.
8. Maintain up-to-date knowledge of industry compliance to ensure refunds are processed timely and payment posting is accurate.
9. Performs other duties as assigned.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Qualifications

Required:

• High school graduate or equivalent.
• Minimum of four years in Revenue Cycle hospital/professional billing and/or payments and refunds processing.
• Industry certification such as CPC, CPB, CRC.
• Proficient in basic computer skills and Microsoft Office products.
• Maintain a positive, resourceful attitude toward achieving overall department and organizational goals.
• Ability to multitask and prioritize workload.
• Ability to work independently and be a self-starter.
• Ability to collaborate with others as part of a team.
• EPIC billing and/or coding experience.

Desired:

• Associate Degree (AA).
• Epic certification.

Physical/Sensory Demands

O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.

Physical/Sensory Demands For This Position:

• Walking – O
• Sitting/Standing - C
• Reaching: Shoulder Height - O
• Reaching: Above shoulder height - O
• Reaching: Below shoulder height - O
• Climbing - O
• Pulling/Pushing: 25 pounds or less - O
• Pulling/Pushing: 25 pounds to 50 pounds - O
• Pulling/Pushing: Over 50 pounds - O
• Lifting: 25 pounds or less - O
• Lifting: 25 pounds to 50 pounds - O
• Lifting: Over 50 pounds - O
• Carrying: 25 pounds or less - O
• Carrying: 25 pounds to 50 pounds - O
• Carrying: Over 50 pounds - O
• Crawling/Kneeling - O
• Bending/Stooping/Crouching - O
• Twisting/Turning - O
• Repetitive Movement - C

Working Conditions:

Normal office conditions.

Job Classification:

FLSA: Non-Exempt

Hourly/Salary: Hourly

Physical Exposures For This Position:

• Unprotected Heights – No
• Heat – No
• Cold – No
• Mechanical Hazards – No
• Hazardous Substances – No
• Blood Borne Pathogens Exposure Potential –No
• Lighting – Yes
• Noise – Yes
• Ionizing/Non-Ionizing Radiation – No
• Infectious Diseases – No