Business Analyst / PAS Administration

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Position Summary:

As an individual contributor, this position supports application and maintenance of Real Time Eligibility functionality across the health system. The position collaborates with all utilization stakeholders inclusive of Patient Access, ITS, Medical Group, Finance and Community Connect Partners to ensure that system functionality aligns with existing and newly added payer plans. Additionally, the role contributes to the on-going optimization and continuous improvement of technologies to support HHC initiatives impacted by insurance eligibility and coverage. This role requires advanced knowledge of HHC registration workflows (both HB and PB) and the payer/plan request and maintenance process. Serves as operational point of contact for triaging end user reported issues and submits tickets to IT if determined to be system issue. This position provides an opportunity to become Epic certified with Real Time Eligibility.

Position Responsibilities:

Key Areas of Responsibility

1. 1.   Collaborate with internal (HHC) and external (non-HHC) customers to identify opportunities, propose changes, initiate implementation and complete execution to optimize the patient’s overall and financial experience, maximize efficiency, and increase the organizations financial health.
2. 2.   Maintains current and future knowledge of eligibility system and how they communicate while identifying new and improved technology.
3. 3.   Runs reports around plan mapping, reviewing eligibility dashboard, performing investigation of interface messages, requesting plan mapping updates/changes/enhancements, and troubleshooting responses and errors from eligibility vendor.  
4. 4.   Performs research using message responses, available payer resources, knowledge of Epic system configuration, and billing requirements to determine appropriate payer and plan mapping.
5. 5.   Submits and follows-up on ticket requests to support ongoing maintenance and enhancements to system functionality.
6. 6.   Partners with Application Analysts in the testing of new build and provides operational signoff prior to the promotion of build to the production environment. Monitors and audits new functionality to address issues not identified during testing
7. 7.   Reviews proposed topics for the three Revenue Cycle Governance monthly meetings to identify potential impact to items including, but not limited to coverage registration, Real Time Eligibility, Benefit Collections, payer/plan structure.
8. 8.   Collaborates with various teams for reviewing end user training materials to validate accuracy of content in area of expertise.    
9. 9.   Subscribes to vendor/payer communications and initiates system change requests in order to maintain system performance and minimize workflow disruption.
10. 10.                Provides education to front end users and billing staff related to entering demographics, insurance, and assigning coverage.

Working Relationships:

This Job Reports To:  Patient Access Director, Acute and Non-Acute

Requirements And Specifications:

Education

·        Bachelor’S Degree

Experience:

·        3-5 years’ experience, including at least 1 – 2 years of registration or front-line intake processes in a medical practice or hospital facility with the remaining experience in an analytical field.

Licensure, Certification, Registration

·        Preferred: Epic RTE Certification

Language Skills

·        Exceptional verbal and written communication skills

Knowledge, Skills and Ability Requirements 

• Ability to analyze large data sets and report findings clearly and concisely
• Strong interpersonal and communication skills
• Ability to work independently and collaboratively across multiple functional areas
• Demonstrated analytical, critical thinking, and problem-solving skills

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.