Hospital AR and Denial Management Analyst- Full Time Days

Cape Fear Valley Health

2d • Onsite

About The Position

Assist the Physician Revenue Cycle, Cape Fear Valley Medical Group, and Provider Enrollment teams by reducing delays impacting professional accounts receivable within Cape Fear Valley. The analyst works on payer enrollment discrepancies and credentialing issues, develops plans and workflows for AR resolution, manages provider releases and holds in Epic, and analyzes denial trends to support improvement and reduce payment disruption.

Requirements

• Bachelor’s degree, or, in lieu of a degree, 10 years of collective experience in Physician Accounts Receivable, Provider Enrollment, Provider Onboarding, Managed Care Contracting, and Medical Staff Services, including payer-related credentialing and enrollment duties.
• Five years of experience required.
• Proficiency in reading, writing, and speaking English.
• Excellent interpersonal skills and ability to interact with internal hospital department leadership and outside organizations.
• Strong written and verbal communication skills, results-oriented approach, and team-player attitude.
• Expert skills in Microsoft Word, Excel, PowerPoint, and Access, or other required software.
• Willingness and ability to work on a variety of activities and projects.
• Ability to interact with people tactfully and diplomatically.
• Present a professional image.

Responsibilities

• Work with Physician Revenue Cycle on AR issues related to payer enrollment discrepancies and credentialing.
• Create strategic plans for AR resolution related to credentialing and payer enrollment to minimize cash impact and develop workflows that improve the payer enrollment process.
• Manage and oversee the release and holding of providers in Epic to ensure timely resolution and reduce denials.
• Identify improvement opportunities while mitigating payment disruption.
• Trend and provide denial analysis, and share results to foster improvement and denial reduction.
• Assist the Director/PB Revenue Cycle, Managed Care leaders, and Provider Enrollment manager with expanding delegated arrangements to expedite enrollment and reduce delays.
• Align individual group Tax IDs to the corporate strategic structure and help establish controls to maintain that structure and its integrity.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time