Anesthesia Denials & Revenue Cycle Analyst

Shriners Children's; Tampa (FL); On-site; USD 65,000 - 92,000; Full time

Job summary

Shriners Children’s is seeking a Denials Management Analyst (Anesthesia) to analyze denials data, track payor metrics, and coordinate denial and audit activities across institutional and professional claims. You will work across multiple systems, identify root causes, and support process improvements with a focus on timely responses.

The role requires 3 years anesthesia experience and 5-7 years in Healthcare Revenue Cycle including denials management, with EPIC PB Resolute expertise and strong

Qualifications

• > Bachelor's degree, or equivalent combination of education and experience.
• > 3 years of anesthesia experience.
• > 5-7 years in a Healthcare Revenue Cycle environment including 3 years in Third Party Collection/AR Receivables and Denials Management.
• > EPIC PB Resolute experience.
• > Knowledge of insurance contract rates and terms; government and managed care rules; payor 835 and EOB processes.

Responsibilities

• > Collecting/analyzing, reporting status, metrics and trends from multiple systems.
• < Distributing reports to specific distribution group.
• < Managing Epic work queues and resolving denials.
• < Coordinating payor denial and audit activities for both institutional and professional claims.
• < Maintaining the healthcare tracking tool with user access management and updates.

Skills

Strong communication skills

Analytical thinking

Attention to detail

Healthcare Revenue Cycle

Education

Bachelor's degree or equivalent

Tools

Epic PB Resolute

Excel

Job description

Shriners Children’s is seeking a Denials Management Analyst (Anesthesia) to analyze denials data, track payor metrics, and coordinate denial and audit activities across institutional and professional claims. You will work across multiple systems, identify root causes, and support process improvements with a focus on timely responses.

The role requires 3 years anesthesia experience and 5-7 years in Healthcare Revenue Cycle including denials management, with EPIC PB Resolute expertise and strong