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Analyst, Performance Improvement

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Analyst, Performance Improvement

San Antonio, Texas South Texas Specialty Hospital (13622)
Category Business Office Job ID 92863
Status Full-Time/Regular
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USPI South Texas Specialty Hospital is seeking a motivated Analyst, Performance Improvement to join our team.We have 25 Beds and 8 OR rooms and 3 ER Rooms. We perform outpatient surgical procedures in Orthopedic, Spine.

Job Summary: The Analyst, Performance Improvement is responsible for coordinating and managing all operational activities related to legal patient accounts. This role serves as the primary liaison between the hospital, patients, attorneys, funding companies, and internal departments to ensure efficient case management, timely documentation, accurate financial tracking, and successful account resolution. The analyst oversees the full lifecycle of legal accounts while ensuring compliance with organizational policies, maintaining strong relationships with attorneys and funding companies, and identifying opportunities to improve operational efficiency and financial performance

Job Duties:

Coordinate the end-to-end management of legal patient accounts from intake through final settlement and payment.
Serve as the primary point of contact for attorneys, law firms, funding companies, patients, insurance representatives, and other external stakeholders regarding legal accounts.
Develop and maintain professional relationships with referring attorneys, legal offices, funding companies, and physician practices to facilitate efficient case management and exceptional customer service.
Coordinate communication between all parties regarding case status, funding requests, settlements, payment activity, and required documentation.
Monitor active cases, settlement timelines, and aging accounts while proactively resolving issues that may delay reimbursement.
Manage outstanding legal receivables, funding activity, and settlement processes to support timely reimbursement.
Prepare account balances, payoff statements, settlement reconciliations, and other financial documentation.
Partner with Patient Financial Services, Business Office, and Revenue Cycle teams to ensure accurate account setup, billing, payment posting, and account resolution.
Identify reimbursement barriers and recommend solutions that improve collections and reduce aging receivables.
Assist leadership with reporting and analysis of legal account performance, collections, and reimbursement trends.
Maintain complete and accurate documentation within electronic medical record and patient accounting systems.
Coordinate medical record requests and documentation exchanges in accordance with HIPAA and organizational policies.
Ensure compliance with all federal, state, and organizational requirements governing protected health information and legal documentation.
Analyze operational trends and key performance metrics to identify opportunities for workflow improvements, increased efficiency, and enhanced financial performance.
Participate in department initiatives, special projects, and continuous process improvement efforts.
Partner with surgeons, clinical leadership, scheduling, business office, revenue cycle, compliance, executive leadership, attorneys, and funding companies to ensure seamless coordination of legal patient accounts.
Support physician practices and referral partners by providing timely communication, operational guidance, and issue resolution.
Assist leadership with operational planning, business development initiatives, and growth strategies related to legal services.
Perform additional duties and special projects as assigned in support of departmental and organizational objectives.

Qualifications: 

High School graduate or equivalent required
Bachelor’s degree in Business Administration, Healthcare Administration, Finance, Legal Studies, or a related field preferred.
Equivalent combination of education and relevant experience may be considered
2–5 years of experience in healthcare operations, revenue cycle, legal case management, patient financial services, workers’ compensation, personal injury, or medical billing.
Experience managing legal patient accounts, attorney-referred business, or funding company relationships is strongly preferred.
Experience working with electronic medical records and patient accounting systems preferred.
Strong analytical and problem-solving skills.
Excellent organizational skills with the ability to manage multiple active cases simultaneously.
Strong written and verbal communication skills.
Ability to build productive relationships with attorneys, funding companies, physicians, patients, and internal stakeholders.
Knowledge of healthcare revenue cycle processes, medical billing, collections, and reimbursement.
Understanding of HIPAA privacy requirements and healthcare compliance.
Advanced proficiency with Microsoft Excel and Microsoft Office applications.
Experience creating reports and analyzing operational metrics.
Ability to exercise sound judgment while maintaining confidentiality.

Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

#USP-123

#LI-CM1

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