OverviewFounded in 1887 Dignity Health - California Hospital Medical Center is a 318-bed acute care nonprofit hospital located in downtown Los Angeles. The hospital offers a full complement of services including a Level II trauma center the Los Angeles Center for Womens Health obstetrics and pediatric services and comprehensive cardiac and surgical services. The hospital shares a legacy of humankindness with Dignity Health one of the nations five largest health care systems. Visit here https://www.dignityhealth.org/socal/locations/californiahospital for more information.
One Community. One Mission. One California
ResponsibilitiesSenior AR Decision Support Analyst will be responsible for developing data-driven analyses to assess service line costs, utilization trends, and provider performance while identifying opportunities for improvement. This position works closely with finance leaders and operational teams to enhance revenue cycle efficiency, optimize reimbursement, and align strategies with organizational goals.
- Develop and interpret data analyses, including service line cost trends, provider performance, and market factors.
- Participate in the preparation and delivery of decision support reports to guide organizational strategies.
- Coordinate with business functions to identify opportunities and recommend data-driven decisions for operational and financial improvement.
- Provide guidance and clarification in unfamiliar situations by utilizing appropriate resources and escalation.
- Monitor revenue cycle operation to identify inefficiencies, compliance concerns, and areas for improvement.
- Conduct continuous reviews of accounts receivable (AR) to ensure real-time data availability and proactive management.
- Participate in month-end revenue close reviews, identifying ways to improve net revenue yield.
- Collaborate with finance leaders and OPTUM360 to implement revenue cycle strategies tailored to organizational needs.
- Analyze denial patterns to implement preventative measures and enhance initial claim submission accuracy.
- Recommends policy and operational changes to improve reimbursement levels based on historical data and trends.
- Conduct in-depth reviews of high-dollar claims to identify and address patterns leading to denials.
- Regularly review and refine processes to ensure continuous optimization and adherence to best practices.
- Continuously assess payer contracts, adapting to evolving market conditions and organizational strategies.
QualificationsPreferred:
Masters degree in Finance, Business Administration, Healthcare Administration or a related field.
Experience in revenue cycle, financial analysis, or healthcare decision support
- Proficiency in revenue cycle software, data visualization tools, and Microsoft Excel. Excellent problem-solving, communication, and collaboration skills
