The Denials Analyst with the Revenue Cycle team will collect, review, and report on data. Identify trends/problems, recommend and create resolution and provide education to senior leaders and associates on new processes and resources to prevent denials on the front-end.
Leverages in-depth knowledge of business practices to identify and problem-solve anomalies, including trouble-shooting, root cause analysis, design and implementation of solutions.
Prepare, compile, distribute and analyze regular reports of denials and the impact of continuous errors (both technical and coding) on revenue collection.
Communicate effectively with site and system leadership. Prepare, interpret data, and present Power Point Presentations on a regular basis to associates , clinical staff, and system leadership.
Initiate proactive communications with payer and facilities to obtain maximum reimbursement, meet monthly with RC teams and site teams to resolve billing and coding issues and to present educational opportunities.
Assist program directors and revenue service managers in coordinating revenue optimization through correct demographic collection, billing and/or coding practices.
Responsible for managing scope and completion of work, meeting deadlines, and providing deliverables to the customers or end users. Coordinates projects, participates in meetings as necessary to complete assignments.
3+ years relevant experience in a healthcare setting
Intermediate to advanced knowledge of Excel (Pivot tables, Vlookups, formulas) and Power Point
Experience with trending, root cause analysis and recommending process improvement initiatives
Excellent communication and presentation skills
Highly prefer experience with commercial and government payors/experience with the medical billing process
One year of Performance Improvement experience (Lean, 6Sigma, Agile)
Knowledge of RAC and other state/federal billing audit programs.
Knowledge of change management principles and process improvement methods.
We reveal and foster God's healing love by improving the health of the people and communities we serve, especially those who are poor and vulnerable.
Inspired by our faith,
•We will be distinguished as the premier person-centered health system and trusted partner.
•We will share accountability with clinicians and other stakeholders to coordinate care across all settin...gs and improve access, quality, health outcomes, and affordability.
•We will grow as community-based health networks to serve more people in partnerships with others who share our vision and values.
Caring Spirit - We honor the sacred dignity of each person.
Excellence - We set and surpass high standards.
Good Humor - We create joyful and welcoming environments.
Integrity - We do the right thing with openness and pride.
Safety - We deliver care that seeks to eliminate all harm for patients and associates.
Stewardship - We are accountable for the resources entrusted to us.