Faculty Contract Operations Analyst

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion.

Primary Purpose

Supports the validation and accuracy of data collection, monitors, analyzes the data and prepares documents of all the components of the Parkland Health /University of Texas Southwestern Medical School Contract.

Minimum Specifications

Education

• Must have a Bachelor's Degree in Business Administration, Finance, or Health Care Administration.

Experience

• Must have two (2) years of related experience.

Equivalent Education and/or Experience

• May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.

Skills or Special Abilities

• Must have a working knowledge of performance and financial analysis.
• Must have the ability to interpret raw data, format and give formal presentations.
• Must have strong computer skills, including spreadsheet, database management and word processing software.
• Must be able to demonstrate a thorough working knowledge of Electronic Medical Record systems such as EPIC and timekeeping systems such as UKG.
• Maintains working knowledge of billing modifiers, CPT, ICD10 and DRG coding systems.
• Must have tact and diplomacy skills, and the ability to communicate with all levels of employees to include executive management and physicians.
• Must be flexible and meet the demands of changing priorities with short timelines.
• Must have good oral and written communication skills.
• Must have proven organizational and time management skills.

Responsibilities

1. Receives, analyzes and formats electronic data for professional clinical services to Parkland uninsured patients from University of Texas or the third-party administrator and submits analyses to department/division management.
2. Validates the accuracy of invoice data and prepares documents related to monthly payment
3. Tracks and consolidates adjudicated data to create ad hoc custom reports
4. Works collaboratively with Medical Affairs Office to ensure an accurate up-to-date provider file using the designated database and provides in depth analysis of provider and midlevel productivity.
5. Assists with the development and preparation of detailed audits and written reports such as program outcomes related to non-RVU components of the contract. Assists with the research of information contained in final reports/documents as needed. Assists with the development and analyses for presentation to Parkland Leadership and Board of Managers as needed.
6. Research local, state and national benchmarks related to compensation models and market rates, academic and non-academic. Collaborates with Accountants and upon management's directive prepares and provides documents necessary for fair market value analysis.
7. Closely examines and reviews all claims that are appealed for payment. Makes recommendations to management for approval or denial regarding appellate decisions.
8. Completes various MSA component reconciliation functions
9. Collaborates with internal and external information system billing programmers to ensure adherence to the Billing rules of adjudication. Works to ensure updates and modifications are put into place when necessary. Sample tests modification for quality assurance.
10. Tracks and monitors in detail Medical Administrative (Lead Physicians, Service Chiefs and Medical Directors) time logs by physician. Provides University of Texas Southwestern Medical School management with summary data for possible further analysis. Identifies trends relative to time productivity and time expectations.
11. Utilizes Accepted Unaccepted Claims Data (AUCD) and third-party payor data for analysis. Uses claims data to make decision driven recommendations to University of Texas Southwestern Medical School Faculty Contract management.
12. Contributes to the development of various Standard Operating Procedures (SOPs) and Business Rules.

Job Accountabilities

1. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
2. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
3. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.