Revenue Cycle Denials Analyst

Job Description:

The Revenue Cycle Denials Analyst leverages training and experience to track denials across the organization and mitigate 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.

This is a 100% remote position however, currently we are unable to consider candidates for remote opportunities in the following states: California, Hawaii, Illinois, New York, Rhode Island, Vermont, Connecticut, and Washington.

This position will require in-person training.

Responsibilities:

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

Skills:

• Analytical
• Independent
• Continual Improvement
• Revenue Cycle Operations
• Action Planning
• Initiative
• Microsoft Office
• Communication
• Medical billing
• EOB Interpretation

Qualifications:

Required:

• 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.

Preferred:

• Bachelor’s Degree in Finance, Business or related field from an accredited university. Education is verified.
• 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: Intermountain Health Cedar City Hospital, Intermountain Health Garfield Memorial Hospital, Intermountain Health Primary Children’s Hospital

Work City: Salt Lake City

Work State: Utah

Scheduled Weekly Hours: 40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$29.66 - $46.72

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.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits).

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.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.