The Business Process Analyst for the Division of Gastroenterology & Hepatology is responsible for providing financial, administrative and clinical practice analysis of the outpatient clinics, Endoscopy, Inpatient services, infusion centers, GI Labs and Ancillary services.
Specific duties & responsibilities:
Provides financial, administrative and clinical practice analysis for the Ambulatory Service Manager, Clinical Director and Division Administrator
Utilizes EPIC, Medvitals, COGNOS systems and Drug Medical Benefit program systems.
Performs zip code analysis of services to assist in determining where to grow or relocate services
Provides monthly reports on wait times by sub-specialty, by location and by provider to leadership team
Provides monthly reports on EPIC work queues
Visit referrals by subspecialty
Direct Access Screenings
GI Lab and Motility testing referrals
Provides monthly report on scheduling and show rates by provider
Investigate all rates that are below Departmental standard
Provides weekly report on available slots to IBD Director for Urgent patients
Sends weekly emails to physicians who are not in compliance for closing encounters timely
Provides weekly report on scheduled appointments and available capacity for infusion, GI Lab tests and ancillary services by location to Clinical Directors
Monitors referral queues for tests, infusions and sub-specialty referrals to ensure physicians clinics and ancillary services are fully utilized
Reports monthly on non-compliant bump rates by provider
Monitors unsigned procedural notes
Regularly reviews and reconciles time away system with EPIC to ensure that changes in inpatient assignment has resulted in appropriate outpatient clinic closure and/or reopening.
Reports monthly on unused scheduled holds/blocks by Provider
Works with Medical Office Coordinators and Clinical Director weekly to ensure these spots are 100% filled with wait list and/or urgent patients
Investigates all encounters that post to the Denial reports
Determine root cause of denials
Reports cause to leadership monthly
Reviews findings with providers, MOCs and Financial Clearance to prevent reoccurrence of denials
Participates in routine audits.
Ensures encounters are routed from infusion center, GI Lab and ancillary services to appropriate physician for billing purposes
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