PFS Business Analyst: Denials & Data Insights (Hybrid)

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

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