- Conduct insightful analysis to investigate trends in denial and write off data to aid in identification and prioritization of denial prevention initiatives.
- Prepares data for an executive level audience and communicates opportunities to Denial Prevention Manager and Denial Prevention Coordinator.
- Performs account audits to validate denial data and effectiveness of implemented systemic change.
- Maintains tracking documents and dashboards.
- Perform other related duties as required
- This Job Reports to Denial Prevention Manager
- Minimum: Bachelor's degree in Health Care Administration or related field
- Preferred: Extensive experience may substitute for education.
- Five (5) years' experience in a hospital/professional billing denial and/or accounts receivables setting.
- Strong Excel skills.
- Strong root cause analysis skills.
- Knowledge of payor CARC and RARC codes and denial classes
- Demonstrated knowledge Revenue Cycle Analytics
- Excellent communication, technical understanding and interpersonal skills
- Demonstrated ability to multitask and work in a fast-paced working environment
- Ability to adapt to multiple systems.
Denial Prevention Analyst - Newington, United States - Hartford HealthCare Medical Group
Description
Job Schedule:
Full Time
Standard Hours:
40
Job Shift:
Shift 1
Shift Details:
Monday - Friday; 7:00am-3:30pm
Work where every moment matters.
Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here.
We invite you to become part of Connecticut's most comprehensive healthcare network.The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.
Position Summary:
Support revenue cycle denial prevention for both hospital and professional billing by analyzing data, requesting and monitoring reports, and maintaining dashboards to aid in the identification and strategic planning of denial prevention initiatives.
Efficiently audit accounts to validate data and effectiveness of implemented systemic change to aid in the Revenue Cycle write off reduction goal of 10%, or $441K, for FY22.
Effectively communicate identified trends and recommended priority. Maintain a log of acknowledged opportunities and track and monitor progress. Consolidate and prepare data for executive level distribution.Position Responsibilities:
Key Areas of Responsibility
Working Relationship:
Requirements and Specifications:
Education
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.
Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.
We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure work/life balance.
Every moment matters. And this is your moment.
We could tell you more, but why not let our team members handle it? Hear what these Hartford HealthCare employees have to say about working here, in their own words.