Denial Management Analyst

University of Maryland Medical System•Linthicum Heights, MD

2d•$27 - $38

About The Position

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org. Under general supervision, develops, analyzes, interprets and reports denial statistics and denial performance at a corporate level for University of Maryland Medical System and all of its affiliates. Reporting will include monthly denial trending packages for affiliate UM Committees, CFOs, and department heads, Denial Scorecard presentations for Sr. Executive Leadership, as well as ad-hoc requests for department specifics. Investigates data outcomes, making decisions on contributing factors and communicating/collaborating with business owners and stakeholders to achieve organizational goals and drive improvement utilizing the denial targets set for the System. Utilizing analytic business tools, compiles information from multiple systems to support the completion of tasks under the purview of the Denial Informatics Team and the Sr. Vice President of Revenue Cycle.

Requirements

High School Diploma
Two (2) years related experience

Nice To Haves

Bachelor’s degree in business, finance, information technology or other related field
Six (6) years related experience in analyzing and balancing financial and statistical information with degree.

Responsibilities

Self-directed prioritization and completion of work.
Sets goals to align with organizational and team needs and static due dates.
Produces denial spreadsheet and database deliverables using analytic business tools.
Generates monthly, quarterly, and annual System denial performance reports, scorecards, and dashboards.
Communicates improvement and opportunity observations to appropriate stakeholders.
Reviews various denial datasets at a detail and summary level.
Analyzes denial data to reconcile, confirm accuracy, and identify variances.
Supports small to medium revenue cycle and business applications projects.
Communicates effectively with stakeholders, team members, and immediate supervisor.
Provides information regarding work progress, completed actions, and issues in a timely and effective manner.
Formats, compiles, organizes, and stores denial data.
Documents processes clearly for both informatics team and, where appropriate, end user awareness.