Revenue Cycle Denials Analyst

Intermountain HealthLake Park, IA
$31 - $48Remote

About The Position

The Revenue Cycle Denials Analyst leverages training and experience to track denials across the organization and mitigating root causes that contribute to an increase of denials and a loss of revenue. The caregiver must be able to apply a robust understanding of revenue cycle best practices and billing software navigation skills to research accounts, identify trends, and recommend changes to care sites, clinics and revenue cycle leadership. The Revenue Cycle Denials analyst will provide support and training - spearheading operational reviews and presenting findings to diverse business audiences ranging up to C-suite level with confidence and professionalism.

Requirements

  • Demonstrated experience in Revenue Cycle medical claims management
  • Demonstrates exceptional organizational skills.
  • Demonstrates strong presentation skills and oral and written communication skills.
  • Ability to build and maintain strong relations and collaborate effectively with cross-functional teams.
  • Demonstrates strong analytical skills and the ability to interpret data to drive informed decisions.
  • Demonstrates strong attention to detail with an ability to maintain a high level of accuracy.
  • Microsoft Office
  • Communication
  • Medical billing
  • EOB Interpretation

Nice To Haves

  • Bachelor’s Degree in Finance, Business or related field from an accredited university.
  • HFMA Certification
  • Epic systems experience
  • Five (5) years of experience in medical billing/claims follow up

Responsibilities

  • Serves as a subject matter expert across the organization to mitigate losses from denials.
  • Provides crucial support and training across business units to ensure teams are well versed in revenue cycle processes.
  • Ensures optimal performance in all areas of denial prevention in compliance with policy and regulatory requirements.
  • Leads and drive denials prevention projects through collaboration with leadership and care sites.
  • Implements strategies to enhance the efficiency and accuracy of revenue cycle operations.
  • Analyzes data to Identify trends, areas of system and process improvement, and opportunities for optimization.
  • Performs root cause analysis, then prepare and implement action plans.
  • Provides recommendations for improvement of efficiency in processes to Revenue Cycle leaders.
  • Meets or exceeds department standards and goals.
  • Implements best practices and stay abreast of industry trends to drive ongoing improvement.

Benefits

  • Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
  • Up-front tuition coverage paid directly to the academic institution through the PEAK program.
  • 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
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