Patient Financial Services Business Analyst

Inova Health | Patient Financial Services (PFS) Business Analyst | Fulltime | Hybrid (expected to provide on-site support to all Inova locations). Must be local to Northern VA

The Patient Financial Services (PFS) Business Analyst coordinates, directs, leads, and manages departmental projects and activities to achieve strategic objectives. Creates strong project momentum and collaboration with stakeholders, staff, and leadership to achieve meaningful denial rate reductions. Leads and manages departmental activities to achieve Inova Health System's mission and strategic objectives while creating strong project momentum and building stakeholder ownership. Demonstrates the knowledge, skills, and abilities required to perform/grow as a subject matter expert on commercial/government denials including, but not limited to, feasibility analysis, technical enhancements, thorough understanding of available software, data analysis/reporting, workflow analysis as well as recommendations for improvement. Supports the implementation of improvement plans and new initiatives, as well as the promotion of sound business analysis and project management principles.

Job Responsibilities

- Develops subject matter expertise on assigned core business areas including, but not limited to, feasibility analysis, technical guidance, thorough understanding of available software, data analysis/reporting, and workflow analysis.
- Identifies, documents, measures, monitors and recommends improvements to automated and non-automated business processes, in collaboration with stakeholders, in the core areas of case management and care coordination.
- Supports initiatives to improve the continuum of patient care through better alignment of workflows with technology, recommending best courses of action, and using objective evidence to evaluate impact.
- Prepares denial data analysis/reporting and workflow analysis for Patient Financial Services (PFS), system-level leadership, and stakeholders including initial denials, write-offs, and recoveries.
- Supports the implementation of system denial prevention initiatives.
- Creates and analyzes data to support outcomes. Interprets data, develops recommendations, and implements strategies designed to maximize the achievement of PFS denial goals.
- Supports the creation, implementation, and monitoring of process improvement plans by using strong business analysis and project management principles.
- Facilitates the implementation of improvement plans and new initiatives as well as the promotion of sound business analysis and project management principles.
- May perform additional duties as assigned.

Required Qualification

- Experience - 1 year experience in Revenue Cycle functions, data analytics, or relevant professional experience
- Education - Bachelor or Associate and 4 additional years of experience or HS Diploma/GED and 8 additional years of experience
- Certification - Not required
- Licensure - Not required

Preferred Qualification

- Experience - Payment card industry (PCI) experience or IT security experience