Revenue Cycle Billing Analyst

The Clinical Systems Analyst partners with Revenue Cycle, Patient Accounting, Charge Services, Finance, and other operational teams to optimize, enhance, and support Gillette’s Electronic Health Record (EHR). This role has a particular focus on Oracle Health/Cerner Patient Accounting and Revenue Cycle functionality, including charges, coding, patient accounting, finance audits, and related workflows. 

Key responsibilities include:

• Maintaining and supporting Revenue Cycle and Patient Accounting functionality within Oracle Health/Cerner, including troubleshooting break/fix tickets, managing annual upgrades, and building system enhancements.
• Partnering closely with Revenue Cycle, Patient Accounting, Charge Services, Finance, and other stakeholders to understand business needs and translate them into effective system solutions.
• Evaluating existing systems, workflows, and processes to identify opportunities to improve efficiency, accuracy, and the end-user experience.
• Configuring and building within Oracle Health/Cerner to support revenue cycle, patient accounting, charging, coding, documentation, and other operational workflows.
• Gathering requirements from end users and stakeholders and translating business needs into system specifications, enhancements, and workflow designs.
• Troubleshooting application issues and providing responsive support to end users while collaborating with IS teams and vendors to resolve more complex technical issues.
• Supporting system implementations, upgrades, testing, maintenance, and enhancement projects while serving as a liaison between operational teams, technical teams, and vendors.
• Analyzing system data and reports to identify trends, support financial and operational audits, and uncover opportunities for process improvement.
• Maintaining accurate documentation of system configurations, workflows, enhancements, user guides, and standard operating procedures.
• Staying current on Oracle Health/Cerner capabilities, healthcare technology, and emerging solutions to continually improve Revenue Cycle and Patient Accounting systems.

Qualifications

Required

• Bachelor's degree in computer science, MIS, Business Administration, Information Technology, or 4 years of experience.
• Experience with clinical information systems.
• Proficiency in system implementation, support, and maintenance within a clinical environment.
• Experience with documentation and version control of system configurations, user guides, and standard operating procedures.
• Minimum of 3 years of experience as a Systems Analyst or similar role.
• Strong understanding of clinical, scheduling, and charges workflows in a healthcare setting
• Understanding of software integrations.

Knowledge, Skills and Abilities

• Strong clinical background in healthcare IT, clinical system implementation, and end-user support.
• Strong understanding of clinical workflows and healthcare operations.
• Knowledge of healthcare IS standards and regulations such as HIPAA, Meaningful Use, and CMS regulations.
• Excellent problem-solving and analytical skills.
• Strong communication and interpersonal skills.
• Strong troubleshooting skills to identify and resolve system issues promptly.
• Ability to work independently and in a team environment.
• Proven experience in overseeing the design, development, and implementation of software and hardware solutions, systems, or products.

Preferred

• MBA, MHA or related master’s degree.
• Experience with solution-based thinking and relating to business specific needs.
• Familiarity of Oracle Health CCL (Cerner Command Language) (modified SQL) for queries, work queues, and Millennium Reporting tools.
• Previous experience working in a hospital setting.
• Have a basic understanding of HL7 and API transactions related to system integration.
• Certification(s) in Oracle Health Millennium solutions.

At Gillette Children’s, we foster a culture where every team member feels a sense of belonging and purpose. We are dedicated to building an environment where all feel welcomed, respected, and supported. Our values are embedded at the heart of our culture. We act first from love, embrace the bigger picture, and work side-by-side with our patients, families, and colleagues to help every child create their own story. Together, we work to ensure patients of all backgrounds and abilities reach their full potential.

Gillette Children's is an equal opportunity employer and will not discriminate against any employee or applicant for employment because of an individual's race, color, creed, sex, religion, national origin, age, disability, marital status, familial status, genetic information, status with regard to public assistance, sexual orientation or gender identity, military status or any other class protected by federal, state or local laws.

Gillette Children’s is a global beacon of care for patients with brain, bone and movement conditions that start in childhood. Our research, treatment and supportive technologies enable every child to lead a full life defined by their dreams, not their diagnoses.

To learn more about working at Gillette Children's, please visit https://www.gillettechildrens.org/careers.

Gillette Children's participates in the U.S. Department of Homeland Security (DHS) E-Verify program which is an internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. If E-Verify cannot confirm that you are authorized to work, Gillette will give you written instructions and an opportunity to contact DHS or the Social Security Administration (SSA) to resolve the issue before Gillette takes any further action. Please visit https://www.e-verify.gov/ for further details regarding e-verify.