Revenue Cycle Denials Analyst

Job Description:

The Revenue Cycle Denials Analyst leverages training and experience to track denials across the organization and mitigating root causes that contribute to an increase of denials and a loss of revenue. The caregiver must be able to apply a robust understanding of revenue cycle best practices and billing software navigation skills to research accounts, identify trends, and recommend changes to care sites, clinics and revenue cycle leadership. The Revenue Cycle Denials analyst will provide support and training - spearheading operational reviews and presenting findings to diverse business audiences ranging up to C-suite level with confidence and professionalism. Essential Functions 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. Skills Analytical Independent Continual Improvement Revenue Cycle Operations Action Planning Initiative Microsoft Office Communication Medical billing EOB Interpretation Qualifications Required 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. Preferred 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 This is a remote opportunity. Teams do meet every quarter onsite. Physical Requirements Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.

For roles requiring driving:

Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Lake Park Building Work City:

West Valley City Work State:

Utah Scheduled Weekly Hours:

40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $30.55 - $48.12 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice. Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here. Sign up for job alerts! Click 'sign in' at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details. Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match. Intermountain Health's PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor. All positions subject to close without notice. Thanks for your interest in continuing your career with our team!