Hospital AR and Denial Management Analyst- Full Time Days

Cape Fear Valley Health System; United States; On-site; USD 85,000 - 110,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC seeks a seasoned accounts receivable professional to support Physician Revenue Cycle, CFV Medical Group, and Provider Enrollment teams. The role focuses on resolving AR delays related to credentialing and payer enrollment, and reducing denial risk through strategic workflow enhancements.

The position requires strong communication, collaboration with hospital leadership, and proficiency in Epic and MS Office.

Qualifications

• Bachelor’s degree required or 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.
• 5 years' experience required
• 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 a team player attitude
• Expert skills in Microsoft Word, Excel, PowerPoint and Access or other software as required

Responsibilities

• Assist Physician Revenue Cycle, CFV Medical Group and Provider Enrollment teams by reducing delays impacting Professional AR.
• 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 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

Interpersonal skills

Written & verbal comms

Team collaboration

Ability to multitask

Education

Bachelor’s degree

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Access

Job description

Facility

Cape Fear Valley Medical Center

Location

Fayetteville, North Carolina

Department

Patient Financial Services Operations

Job Family

Professional

Work Shift Days

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

• 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

• 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

Equal Opportunity

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity

About Us

For 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 Fever Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fever 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 Fever region.