Denial Reduction & Analytics Manager

Cook Children's; Fort Worth (TX); Sur place; USD 90 000 - 130 000; Plein temps

Résumé du poste

Cook Children’s in Fort Worth, TX seeks an experienced Manager to lead Denial Reduction and Analytics within Revenue Integrity, PFS, and CBO. You will guide denial-related activities from registration to billing, develop trending and root-cause analytics, and mentor staff to optimize workflows and system use.

Collaborating with finance and clinical teams, you’ll create insights, build ad-hoc reports, and drive process improvements to reduce denials and support leadership decisions.

Qualifications

• Bachelor's degree in Health Care Admin, Business, Finance or related field.
• Five years hospital or physician revenue cycle experience.
• Three years' leadership experience preferred.

Responsabilités

• Provide operational and technical direction across Revenue Integrity and PFS.
• Develop denial trend analyses and root-cause reporting.
• Lead training and troubleshooting for denial reduction processes.
• Mentor staff and promote best analytics practices.

Connaissances

Leadership

Data analysis

Communication

Problem solving

Change management

Revenue cycle

Formation

Bachelor's degree

Outils

Epic Systems

Description du poste

## Denial Reduction & Analytics ManagerApply: Fort Worth, TX: Full time: Posted Today: JR-119446**Location:**Calmont Operations Building**Department:**CBO/Patient Financial Services**Shift:**First Shift (United States of America)**Standard Weekly Hours:**40**Summary:**The Manager of Denial Reduction and Analytics provides operational and technical direction to the Revenue Integrity, Patient Access, Patient Financial Services (PFS) and Central Business Office (CBO). Responsibilities include: Providing guidance and input on activities related to Denials: registration, financial clearance/authorization, coding, charging and billing. Develops denial trending, reporting and root cause to support strategic analyses and decision making; Create documentation to support training and assist in troubleshooting system problems; Oversee the use of appropriate tools to reduce and prevent denials. Serve as a technical leader and has overall responsibility for providing in-depth expertise with denial reduction efforts and processes that prevent denials. Working in conjunction with finance and clinical departments, the Manager of Denial Reduction and Analytics; Seeks to continually improve processes and avoid denials through optimal utilization of standardized workflows and participates in mentoring staff to support those functions. Develop best practices for reporting and other analytics to identify opportunities or problems, process improvements, and other system changes; Assist as needed in ongoing review of payer denial patterns. Work closely with clinical operations, Payor Relations, and revenue cycle departments to provide expertise to leadership in developing on-going analytic tools including ad-hoc queries and reports for members of the Revenue Cycle and Finance teams.**Qualifications:*** Bachelor's degree in Health Care Administration, Business, Accounting, Finance or related field preferred* Five years hospital or physician revenue cycle or financial analysis experience required* Three years' experience in leadership role preferred* Ability to apply appropriate supervisory, management, and leadership techniques in an operational setting* Excellent ability to understand and interpret statistical reports and perform quantitative analysis* Knowledge of the principles of Information Systems in order to effectively analyze and make decisions. Excellent written and oral communication skills to effectively communicate with top leadership* Knowledge of healthcare related financial and/or accounting practices* Skill in problem-solving in a variety of settings and translation of data into actionable steps* Ability to deal effectively with constant changes and be a change agent* Detailed knowledge of health plan operations, reimbursement methodologies, payer contracts and clinical policies* Knowledge of state, federal and compliance regulations as they pertain to coding and billing processes and procedures* Prior experience with Epic Systems Revenue Cycle Solutions preferred