Revenue Cycle Denials Analyst

Revenue Cycle Denials Analyst

Requirements

• Demonstrated experience in Revenue Cycle medical claims management
• Demonstrates exceptional organizational skills.
• Demonstrates strong presentation skills and oral and written communication skills.
• Ability to build and maintain strong relations and collaborate effectively with cross-functional teams.
• Demonstrates strong analytical skills and the ability to interpret data to drive informed decisions.
• Demonstrates strong attention to detail with an ability to maintain a high level of accuracy.

Responsibilities

• Serves as a subject matter expert across the organization to mitigate losses from denials.
• Provides crucial support and training across business units to ensure teams are well versed in revenue cycle processes.
• Ensures optimal performance in all areas of denial prevention in compliance with policy and regulatory requirements.
• Leads and drive denials prevention projects through collaboration with leadership and care sites.
• Implements strategies to enhance the efficiency and accuracy of revenue cycle operations.
• Analyzes data to Identify trends, areas of system and process improvement, and opportunities for optimization.
• Performs root cause analysis, then prepare and implement action plans.
• Provides recommendations for improvement of efficiency in processes to Revenue Cycle leaders.
• Meets or exceeds department standards and goals.
• Implements best practices and stay abreast of industry trends to drive ongoing improvement.

Preferred Qualifications

• Bachelor’s Degree in Finance, Business or related field from an accredited university. Education is verified.
• HFMA Certification
• Epic systems experience
• Five (5) years of experience in medical billing/claims follow up