Senior Operations Analyst - Revenue Cycle - Remote

Why Mayo Clinic
Mayo Clinic is the nation's best hospital (U.S. News & World Report, 2020-2021) and ranked #1 in more specialties than any other care provider. We have a vast array of opportunities ranging from Nursing, Clinical, to Finance, IT, Administrative, Research and Support Services to name a few. Across all locations, you’ll find career opportunities that support diversity, equity and inclusion. At Mayo Clinic, we invest in you with opportunities for growth and development and our benefits and compensation package are highly competitive. We invite you to be a part of our team where you’ll discover a culture of teamwork, professionalism, mutual respect, and most importantly, a life-changing career!

Mayo Clinic offers a variety of employee benefits. For additional information please visit . Eligibility may vary.

Position description
Reports directly to the Senior Manager, this Senior Operations Analyst position will focus on claim edit and rejection analytics to assist in the development of automation and system driven solutions.

Claim edit and rejection analytics:•Conduct standard rejection analytics, treating rejections as denials in terms of corrective action assessment•Manage process improvement projects as they relate to rejection reduction•Assess and evaluate current rejection issues which might be corrected by claim edits, claim build, charge review, or upstream workflow changes•Works with the E-commerce Team to evaluate opportunities for automation and process improvement/accuracy of 276/277 responses•Works with the Automation Team to evaluate RPA opportunities in response to 277 responses•Works with systems to identify high-volume claim edits•Evaluate Charge Router and Claim Build opportunities to reduce edit frequency•Provides data to key middle- and front-end revenue cycle teams as it relates to attributable but preventable claim edits and rejections instances•Assists in the development of testing scripts for key focuses of upgrade as appropriate

Plans and manages large projects. Coordinates resources to implement new systems, programs and processes within the Enterprise Revenue Cycle.
Provides detailed project design documentation, project plans and process flows to present to leadership. Guide and support projects, process, implementation and training teams. Makes design and process decisions. Conducts and/or facilitates complex business analysis for large process, quality and process improvement projects within the Enterprise Revenue Cycle and across Mayo Clinic's three group practices and Mayo Health System. Must demonstrate an understanding of operations, processes, systems, regulations, clinical practice and payers
Coordinates teams of resources to ensure large project efforts are completed on time and within budget. Provides regular updates to senior leadership.
Analyzes, designs, and redesigns processes, workflow, and systems to ensure quality, effectiveness and efficiency, identifies resource impact, and manages the implementation. Leads and facilitates process improvement initiatives. Has a detailed understanding of project management and incorporates these skills while coordinating projects across mayo.
Participates in the design, development and implementation of new business process and system applications in collaboration with Systems Services and Information Technology staff.
Leads effective meetings, workgroups, and committees which include participants throughout Mayo Clinic. Facilitates and negotiates as needed to resolve issues. Specifies and acquires resources for project completion. Demonstrates ability to make appropriate decisions regarding complex operational issues having an Enterprise Revenue Cycle or Mayo Clinic impact. Interacts collaboratively with various departments to support and direct activities and work flows. Collaborates with leadership to resolve Enterprise Revenue Cycle, compliance, state and federal issues. May provide direct supervision to staff
Works with external vendors and/or internal stakeholders as a subject matter expert to analyze issues and resolutions. Mentors and develops staff. Maintains knowledge of current healthcare environment. May need to present before local, state and national conferences and user group meetings. Understands and is accountable for ensuring a control environment is maintained to preserve Mayo's Standard of Ethics and minimize the financial and legal risks for Mayo. May work evening and weekend hours and travel as needed.

Qualifications
Bachelors with 10 years of relevant experience. Relevant experience is considered in Finance Revenue Cycle, or Healthcare. Master's preferred.


Additional qualifications
Previous healthcare experience preferred. Knowledge and experience in Project Management is required. Extensive knowledge of physician and hospital billing systems for Governmental, managed care and commercial payers is preferred. Customer-service oriented, timely in responses to requests for service/information, able to manage multiple tasks and priorities, have the ability to work independently and possess leadership skills. Requires knowledge of revenue cycle systems.

Exemption status
Exempt

Compensation Detail
Required education, experience, and tenure may be considered along with internal equity when job offers are extended. The salary range every 2 weeks is approx. $3,171-$4,439 based on a full-time position.

Benefits eligible
Yes

Schedule
Full Time

Hours / Pay period
80

Schedule details
100% Remote, can work from any site

Weekdays during business hours. Evenings and/or weekends as needed for special projects.

Weekend schedule
Not typical. May be required for special projects.

Remote
Yes