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Operations Analyst III - Prior Authorization-Remote

MC

Location
United States
Mayo Clinic

Job Description

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.

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.

Why Mayo Clinic
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.

Advice from our career coach

As someone considering applying for the Enterprise Revenue Cycle Analyst position at Mayo Clinic, it is crucial to understand the scope of responsibilities and requirements. Here are some key tips to help you stand out as an applicant:

  • Highlight your experience in analyzing and interpreting data for process and procedural improvements within healthcare settings, particularly in Finance Revenue Cycle or Healthcare.
  • Showcase your expertise in EPIC Experience, offshore vendor management, and Project Management, as these are preferred qualifications for the role.
  • Demonstrate your knowledge of physician and hospital billing systems for different payers and your customer service-oriented approach.
  • Emphasize your ability to lead process improvements, manage multiple tasks effectively, work independently, and possess strong leadership skills.
  • Ensure your resume reflects your relevant educational background and years of experience that align with the job requirements.

Remember, Mayo Clinic is looking for a candidate who can make informed decisions, work collaboratively with various departments, and maintain a control environment to uphold ethical standards. Tailor your application to showcase how you meet these criteria and align with Mayo Clinic's commitment to patient care and employee development.

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