Hospital AR and Denial Management Analyst- Full Time Days

Cape-Fear-Valley-Medical-Center-; Fayetteville (NC); On-site; USD 70,000 - 100,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC seeks a professional to support the Physician Revenue Cycle, CFV Medical Group and Provider Enrollment by reducing delays in Professional AR. The role focuses on payer enrollment discrepancies, credentialing and workflow improvements to speed cash collection.

The ideal candidate has a Bachelor’s degree or 10 years in AR and enrollment, strong communication, proficiency with Microsoft Office and Epic, and the ability to work across hospital

Qualifications

• Bachelor’s degree required or 10 years collective experience in Physician AR, Provider Enrollment, Provider Onboarding, Managed Care Contracting and Medical Staff Services as well as payer-related duties relating to credentialing and enrollment required
• Experience in payer-related credentialing and enrollment, and in managed care contracting
• Epic experience and proficiency with Microsoft Office suite

Responsibilities

• Work with Physician Revenue Cycle on AR issues related to payer enrollment discrepancies and credentialing.
• Create Strategic Plan for AR resolution as it relates to credentialing and payer enrollment to help minimize impact on cash and create workflows to improve payer enrollment process.
• Manage and oversee the release of providers and holding of providers in Epic to ensure timely resolution and denial reduction.
• Identify areas for improvement while mitigating payment disruption.
• Trend and provide denial analysis and share results to foster improvement and denial reduction.
• Assist Director/PB Revenue Cycle, Managed Care leaders and Provider Enrollment manager on expanding delegated arrangements to expedite enrollment process and reduce delays and lag in enrollment process.
• Align Individual Group Tax ID to corporate strategic structure and help establish controls to ensure that structure and integrity is maintained.
• Other duties as assigned

Skills

English proficiency

Interpersonal skills

Written and verbal communication

Team player

MS Word

MS Excel

MS PowerPoint

MS Access

Education

Bachelor’s degree

10 years AR/Provider Enrollment experience

Tools

Epic

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Access

Job description

FacilityCape Fear Valley Medical CenterLocationFayetteville, North CarolinaDepartmentPatient Financial Services OperationsJob FamilyProfessionalWork ShiftDays (United States of America)SummaryAssist the Physician Revenue Cycle, CFV Medical Group and Provider Enrollment teams by reducing delays impacting Professional AR within CFV.Major Job FunctionsThe following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:Work with Physician Revenue Cycle on AR issues related to payer enrollment discrepancies and credentialingCreate Strategic Plan for AR resolution as it relates to credentialing and payer enrollment to help minimize impact on cash and create workflows to improve payer enrollment processManage and oversee the release of providers and holding of providers in Epic to ensure timely resolution and denial reductionIdentify areas for improvement while mitigating payment disruptionTrend and provide denial analysis and share results to foster improvement and denial reductionAssist Director/PB Revenue Cycle, Managed Care leaders and Provider Enrollment manager on expanding delegated arrangements to expedite enrollment process and reduce delays and lag in enrollment processAlign Individual Group Tax ID to corporate strategic structure and help establish controls to ensure that structure and integrity is maintainedOther duties as assignedMinimum QualificationsThe following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:Education and Formal Training:Bachelor’s degree required OR in lieu of degree 10 years collective experience in Physician Accounts Receivable, Provider Enrollment, Provider Onboarding, Managed Care Contracting and Medical Staff Services as well as payer-related duties relating to credentialing and enrollment requiredWork Experience:5 years' experience requiredKnowledge, Skills, and Abilities Required:Proficiency in reading, writing, and speaking the English languageExcellent interpersonal skills with the ability to interact with internal hospital department leadership as well as outside organizationsStrong written and verbal skills, results oriented, and exemplify a team player attitudeExpert skills in Microsoft Word, Excel, PowerPoint and Access or other software as requiredWilling and able to work on a variety of activities and projectsAbility to work with people in a tactful, diplomatic mannerPhysical Requirements:Present a professional imageRequired Licenses and CertificationsCape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity