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Denials Analyst

Denials Analyst

New Jersey StaffingTrenton, NJ, US
11 hours ago
Job type
  • Full-time
Job description

Denials Analyst

The Denials Analyst is responsible for tracking denials across the organizations and mitigating root causes contributing to an increase of denials and a loss of revenue. They must be able to apply a robust understanding of revenue cycle best practices and Epic navigation skills to research accounts, identify trends, and recommend changes to care site and revenue cycle leadership. The analyst should also be able to lead committee meetings and present their findings to diverse business audiences ranging up to C-suite level with confidence and professionalism. All duties should be performed in a manner which promotes teamwork and reflects Intermountain mission, vision and values.

Essential Functions

  • Serve as a subject matter expert across the organization to mitigate losses from denials.
  • Ensure optimal performance in all areas of denial prevention in compliance with policy and regulatory requirements.
  • Lead and drive denials prevention projects through collaboration with leadership and care sites.
  • Participate in process re-engineering, projects and committees to improve the efficiency of the business.
  • Identify system and process improvement opportunities to reduce and prevent denials.
  • Perform root cause analysis, then prepare and implement action plans.
  • Provide recommendations for improvement of efficiency in processes to RSC Management team.
  • Meet or exceed department standards and goals.

Skills

  • Analytical Thinking
  • Accountability / ability to work independently
  • Continual Process Improvement
  • Revenue Cycle Operations
  • Action Planning
  • Taking Initiative
  • Microsoft Office
  • Communication (oral and written)
  • Knowledge of medical billing and collections
  • Read and interpret EOB's (Explanation of Benefits)

    • Physical Requirements

    Qualifications

  • Three (3) Years of work-related experience in medical claims and follow-up
  • Preferred : HFMA Certification, Epic systems experience, Five (5)+ years of experience in medical billing / claims follow up

    • Physical Requirements

  • Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
  • Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment.
  • Typically includes items of varying weights, up to and including heavy items.
  • For roles requiring driving : Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

    • Location : Peaks Regional Office

    Work City : Broomfield

    Work State : Colorado

    Scheduled Weekly Hours : 40

    The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $29.05 - $44.24

    We care about your well-being mind, body, and spirit which is why we provide our caregivers a 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.

    Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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    Analyst • Trenton, NJ, US