Business Systems Analyst 3 - Revenue Integrity - FT Days

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Your Role on the Team

Position Summary

Incumbent plays an ongoing key role in the organization's goal of increasing automation within the department, either via existing or new technology or process improvements while ensuring compliance with government mandated HIPAA requirements in the claims arena. This position will implement, modify and troubleshoot specified systems or applications, data flows, information transmissions, and report designs throughout the receivables cycle while providing production support to both staff and PFS Leadership. Using a collaborative process, the incumbent will contribute significantly to the analysis of accurate data exchange between Registration, Patient Financial Services, Patient Access Services, Revenue Audit and the different systems/applications (e.g. claim scrubber, contractual writeoff calculators, address validation, dialers, etc.) that interface directly or indirectly (e.g. via sftp process) to the current patient account system while adhering to compliance and security policies and procedures to ensure the current AR system security.

Total Compensation

What It Takes to be Successful

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Required Qualifications

• Understanding of billing related EDI formats and requirements
• Strong oral and written communications skills to effectively communicate with staff, senior management and external constituents
• Strong knowledge of healthcare automated systems utilized in a Business Office environment
• Strong knowledge of MS Office products to include Excel, Access, PowerPoint and Word
• Strong analytical skills with the ability to summarize key information clearly and concisely
• Must possess the knowledge to map specifications for EDI(Electronic Data Interchange) using ANSI-837
• Familiarity with rules and regulations governing various payers
• Detailed knowledge of registration, billing and collections processes and data requirements gained through at least two years experience working in a hospital based environment utilizing an automated Patient Accounting system
• Demonstrated knowledge of Excel, Access, PowerPoint, Word
• Ability to work independently and take initiative to identify priorities and manage workload accordingly
• Ability to think critically and problem solve independently as well as collaboratively as required
• Ability to think critically and problem solve independently and/or collaboratively as the situation dictates
• Ability to read and understand intent of regulatory documents to be able to assess impact on current operational processes
• Ability to lead others on a project basis
• Ability to identify process improvement opportunities and develop and recommend new processes as needed
  
  

Preferred Qualifications

• Specific knowledge of Invision Patient Accounting System
• Project management experience
• Knowledge of UC policies and procedures
• Bachelor's Degree in Business, Finance or Computer Sciences
  
  

Conditions Of Employment

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment
  
  

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation
  
  

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at [email protected] or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization