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UPMC continues to comply with governmental guidance related to local, state, and federal COVID-19 vaccination for employment. All employees and affiliated staff of UPMC entities are considered essential health care workers and will be accountable to follow the Centers for Medicare & Medicaid Services (CMS) federal vaccine mandate. To be compliant with the federal mandate, employees must complete the approved vaccination dosage regimen currently defined by the federal government. Compliance with the federal mandate is encouraged before hire. Medical and religious exemption requests may be submitted for consideration.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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Revenue Cycle Analyst, Expert

  • Job ID: 741220040
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Revenue Cycle
  • Department: Rev Cyc Charge Mgmt
  • Location: 2 Hot Metal Street, Pittsburgh PA 15203
  • Union Position: No
  • Salary Range: $31.08 to $52.46 / hour

Description

Purpose:
Conducts complex and detailed analysis and/or evaluation of department financial and operational key performance indicators, and for effectively delivering financial, statistical, and operational reporting projects. Provides detailed written analysis, financial and statistical reports and proposals outlining solutions and enhancements for assigned projects. Audit revenue cycle operations (including detailed review of accounts receivable) and work with assigned departments to resolve all outstanding revenue cycle-related issues. Provide support to senior management and staff throughout revenue cycle analysis/auditing. This role supports EPIC hospital billing. 

Responsibilities:

  • Serve as a process expert and provide training and support to other Revenue Cycle Analysts. Lead efforts to extract and analyze complex financial/operational data set(s) for assigned book of business, including proactive determination of root cause drivers of significant variance. Analyze and identify trends and issues and work with appropriate personnel/departments to resolve.
  • Lead efforts to prepare complex financial/operational reporting metrics, validating the quality and accuracy of the data, and ensuring that reports are published according to pre-defined delivery dates. Accurately classify and record financial transactions and events in accordance with generally accepted accounting principles, where appropriate. Lead meetings with senior Revenue Cycle, Finance and Clinical Administration management to present key metrics, review key drivers of Revenue Cycle outcomes and develop action plans to address identified issues.
  • Develop and implement new self-service and/or visualization tools designed to more effectively deliver enhanced reporting solutions. Collaborate with Revenue Cycle operational teams to review business processes and identify opportunities for improved outcomes. Additionally, facilitate audits of revenue cycle operations to ensure compliance of published revenue cycle protocols.
  • Effectively manage the reporting team request intake process, including timely acceptance of assignments, appropriate prioritization of project requests, and feedback to requestor regarding status/delivery date. Ensure that all financial/operational reporting processes follow the prescribed data integrity & controllership protocols, including adherence and compliance with Sarbanes Oxley controls. Stay current with changing payer and/or market drivers affecting Revenue Cycle and proactively evaluate impact on reporting needs.
  • Create high-quality, executive-level presentation material summarizing key projects, issues, and/or reporting metrics. Promote a culture of collaborative, customer-focused service delivery with both internal and external team resources, including mentoring/knowledge-sharing with other team members.

Qualifications

  • Bachelor's degree in accounting or related business field required with a Minimum of five years of related work experience required OR A Master's degree or CPA license and four years of experience OR High School Diploma/GED and seven years of related work experience.
  • Microsoft Office spreadsheet application required, and PeopleSoft General Ledger proficiency preferred.
  • Demonstrate a high degree of professionalism, enthusiasm, and initiative on a daily basis.
  • Ability to work in a fast-paced environment a must.
  • Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences. Attention to detail is critical to the success of this position, with demonstrated competency in customer orientation and the ability to deal with ambiguity.
  • Excellent planning, communication, documentation, organizational, analytical, and problem-solving abilities. Advanced mathematical skills.
  • Ability to interpret and summarize results of various analyses in a timely and meaningful way. Ability to effectively approach problem solving.
  • Ability to re-engineer processes to positively impact productivity in terms of timeliness and accuracy.

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct