Referral and Clinical Authorization Analyst

Summary

Dana-Farber Cancer Institute is a leader in cancer research and patient care. The Referral and Clinical Authorization Analyst supports the Access Management Department by collecting, reporting, and analyzing data, developing dashboards and reports, identifying revenue-cycle trends and errors, and supporting leadership decision-making and special projects.

Responsibilities

• Field and prioritizes all data, reporting, and analysis requests
• Manage requests by identifying appropriate systems and steps needed for timely completion
• Produce and maintain necessary reporting tools, i.e., denial management reports, financial report cards, productivity dashboards, and quality monitoring reports
• Facilitate data capture, reporting, analysis, and storage
• Develop data sets to identify trends, opportunities, and errors throughout the revenue cycle
• Facilitate communication and understanding of key performance indicators
• Design and develop appropriate benchmarking dashboards and tools
• Support department leadership decision-making (e.g., staffing, performance) through quantitative models and ad hoc reports
• Create and maintain project management tools to support department Leadership on special projects
• Perform other duties as assigned

Skills

• Knowledge of revenue cycle operations as well as basic payer requirements, managed care policies, and medical terminology
• Knowledge of Epic or other hospital information systems
• Strong customer service and communication skills, both written and verbal
• Good judgment, tact, and sensitivity
• Analytical, problem-solving and research skills
• Project/task management skills
• Relationship building skills with ability to collaborate
• Technical savvy and knowledge of analytical tools, particularly Microsoft Office
• Ability to work independently as well as on a team, and as a trainer/facilitator with leadership abilities
• Ability to prioritize work and meet pre-determined deadlines
• Ability to work with sensitive patient information and maintain confidentiality
• Bachelor's degree required
• 2 years of relevant work experience required
• Experience with various software applications, including Microsoft Office (Access, Power Point, Project, Word, and Excel), Business Objects, or Oracle preferred
• Experience with revenue cycle systems, technology, and relevant applications preferred

Qualifications

Must Haves

• Knowledge of revenue cycle operations as well as basic payer requirements, managed care policies, and medical terminology
• Knowledge of Epic or other hospital information systems
• Strong customer service and communication skills, both written and verbal
• Good judgment, tact, and sensitivity
• Analytical, problem-solving and research skills
• Project/task management skills
• Relationship building skills with ability to collaborate
• Technical savvy and knowledge of analytical tools, particularly Microsoft Office
• Ability to work independently as well as on a team, and as a trainer/facilitator with leadership abilities
• Ability to prioritize work and meet pre-determined deadlines
• Ability to work with sensitive patient information and maintain confidentiality
• Bachelor's degree required
• 2 years of relevant work experience required

Nice to Haves

• Experience with various software applications, including Microsoft Office (Access, Power Point, Project, Word, and Excel), Business Objects, or Oracle preferred
• Experience with revenue cycle systems, technology, and relevant applications preferred

Benefits

• Remote work with occasional time on campus