Revenue Recovery & Payer Audit Analyst

UCHealth University of Colorado Health; Denver (CO); On-site; USD 34,000 - 54,000; Full time

Job summary

UCHealth is seeking a Denials Management payer audit analyst to provide analysis, research, and recommendations regarding the organization's patient billing, collection, and accounting practices.

Responsibilities include developing and implementing key compliance measures, monitoring adherence, working with payors and clinicians to ensure payability of claims, and conducting root cause analysis with corrective action plans, in a fast-paced onsite environment.

Qualifications

• High School diploma or GED required.
• At least 1 year of relevant experience.

Responsibilities

• Develops and implements key compliance measures to evaluate the department's billing, collection, posting, refund, and accounting practices.
• Monitors and analyzes the department's compliance with key compliance measures.
• Works with payors and insurers, and clinicians to ensure the payability of claims.
• Performs root cause analysis and collaborates on the development, implementation, and evaluation of corrective action plans based on analysis.
• Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.

Education

High School diploma or GED

Job description

UCHealth is seeking a Denials Management payer audit analyst to provide analysis, research, and recommendations regarding the organization's patient billing, collection, and accounting practices.

Responsibilities include developing and implementing key compliance measures, monitoring adherence, working with payors and clinicians to ensure payability of claims, and conducting root cause analysis with corrective action plans, in a fast-paced onsite environment.