Operations Analyst III - Prior Authorization-Remote
Job ID 345818 Date posted 11/01/2024 Job Expiration Date 11/09/2024- Rochester, MN
- Full Time
- Finance
- Remote: Yes
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. You’ll thrive in an environment that supports innovation, is committed to ending racism and supporting diversity, equity and inclusion, and provides the resources you need to succeed.
Responsibilities
Analyzes and interprets data to initiate and facilitate implementation of solutions for process, quality and procedural improvements within the Enterprise Revenue Cycle and Mayo Clinic by understanding Enterprise Revenue Cycle operations, processes, systems, regulations, clinical practice, payer changes and data. Analyzes, designs, and redesigns processes, workflow, and systems to ensure quality, effectiveness and efficiency, identifies resource impact, and manages the implementation cycle. Leads and facilitates process improvements by understanding system dependencies. Participates in the design, development, testing, implementation, training and maintenance of new business process and system applications with Systems Services staff; coordinating operational input and resources. Leads effective meetings, workgroups, and committees which include participants throughout Mayo Clinic to facilitate and negotiate issues with institutional impact. Specifies and acquires resources for project completion. May serve as primary resource for Enterprise Revenue Cycle. Possesses 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 issues. Partners with appropriate areas to ensure compliance with federal and state requirements. Works with external vendors and/or internal stakeholders as a subject matter expert to
analyze issues and resolutions. Mentors, trains, and develops staff. Maintains knowledge of current healthcare environment. May need to present before local, state and national conferences and user group meetings. Ensures changed processes are incorporated into training and internal control materials for Enterprise Revenue Cycle staff and other users. Provides regular updates to senior leadership. Solicits and makes key decisions. May provide direct supervision to staff. 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 7 years of relevant experience
OR
Masters with 3 years relevant experience.
Relevant experience is considered in Finance Revenue Cycle, or Healthcare.
The preferred candidate will have EPIC Experience (Referrals, Authorizations, Certifications) offshore vendor management experience.
Preferred knowledge and experience in Project Management. Extensive knowledge of physician and hospital billing systems for Governmental, managed care and commercial payers. 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.
This vacancy is not eligible for sponsorship/ we will not sponsor or transfer visas for this position.
This position will accept applications until November 8, 2024. This deadline may be extended if the necessary candidate pool is not met by this date.
Exemption Status
Exempt
Compensation Detail
$73,028 - $107,369 / year
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
80
Schedule Details
100% Remote, can be seated at any site. Monday - Friday 8:00 AM - 5:00 PM CST
International Assignment
No
Site Description
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
Recruiter
Ronnie Bartz
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