Hospital AR and Denial Management Analyst- Full Time Days

Cape Fear Valley Health; Fayetteville (NC); On-site; USD 65,000 - 85,000; Full time

Job summary

Cape Fear Valley Health is seeking an Hospital AR and Denial Management Analyst to support the Physician Revenue Cycle, CFV Medical Group, and Provider Enrollment teams in Fayetteville. The role focuses on reducing delays in Professional AR by addressing enrollment discrepancies and credentialing issues, while improving workflows and denial reduction.

The analyst will develop strategic plans for AR resolution, oversee Epic provider releases and holds, and partner with leadership to streamline

Qualifications

• Bachelor’s degree required OR 10 years collective experience in Physician AR, Provider Enrollment, Provider Onboarding and related duties.
• 5 years experience in Physician Accounts Receivable or Provider Enrollment or related fields.
• Proficiency in reading, writing, and speaking English; strong interpersonal and written/verbal skills; team player attitude.

Responsibilities

• Collaborate with Physician Revenue Cycle to resolve AR issues related to payer enrollment discrepancies and credentialing.
• Develop a strategic plan for AR resolution to minimize cash impact and improve payer enrollment workflows.
• Oversee provider releases and holds in Epic to ensure timely denial reduction.
• Identify areas for improvement and mitigate payment disruption; trend denial analyses and share results for improvement.
• Assist leadership in expanding delegated enrollment arrangements to expedite processes and reduce delays.

Skills

English proficiency

Interpersonal skills

Team player

Verbal communication

Education

Bachelor’s degree OR 10 years related experience

Tools

Microsoft Word

Excel

PowerPoint

Access

Job description

Hospital AR and Denial Management Analyst- Full Time Days### Hospital AR and Denial Management Analyst- Full Time DaysApply: CFV: Full time: Posted Today: 40924**Facility**Cape Fear Valley Medical Center**Location**Fayetteville, North Carolina**Department**Patient Financial Services Operations**Job Family**Professional**Work Shift**Days (United States of America)**Summary**Assist the Physician Revenue Cycle, CFV Medical Group and Provider Enrollment teams by reducing delays impacting Professional AR within CFV.# **Major Job Functions**The 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 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# **Minimum Qualifications**The 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 required## **Work Experience**:* 5 years' experience required## **Knowledge, Skills, and Abilities Required**:* Proficiency in reading, writing, and speaking the English language* Excellent interpersonal skills with the ability to interact with internal hospital department leadership as well as outside organizations* Strong written and verbal skills, results oriented, and exemplify a team player attitude* Expert skills in Microsoft Word, Excel, PowerPoint and Access or other software as required* Willing and able to work on a variety of activities and projects* Ability to work with people in a tactful, diplomatic manner## **Physical Requirements**:* Present a professional image**Required Licenses and Certifications**Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity### About UsFor exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time.Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually. A private not-for-profit organization with over 7,000 employees and 850 physicians. Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond. Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as more than 60 medical offices and specialty care clinics spread throughout the Cape Fear region.