Denials Analyst, Patient Accounting jobs in United States
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Trinity Health System · 1 day ago

Denials Analyst, Patient Accounting

Trinity Health System is a healthcare organization seeking a Denials Analyst to work collaboratively with healthcare professionals to address and prevent denials. The role involves managing denial activities, analyzing trends, and developing initiatives to reduce denials across the revenue cycle.

Health Care

Responsibilities

Provide guidance and support for all denials prevention
Actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report suspected or emerging trends related to payer denials to Revenue Cycle management
Coordinates large dollar denials for follow-up
Work with PIC tool to identify and resolve payment variances
Assist with the development and implementation of policies, procedures, standards and initiatives to reduce denials
Work with revenue cycle denials team to identify denials issues and processes to correct using the denial software tool
Actively participate in monthly revenue cycle denial meetings to help reduce overall denials
Reports any trending and process improvement initiatives to CFO and key stakeholders
Collaborates in the ongoing re-design and re-engineering of Denial functions, to meet the changing needs and priorities of the organization
Working in the Cobius System: accurately entering data, running reports and identifying any denial trends
Other duties as assigned

Qualification

Hospital billing processesDenial managementAnalytical skillsInterqual/Milliman criteriaPublic speakingIndependent decision-makingTeam collaborationWritten communicationVerbal communication

Required

BS/BA in Health Related Field or Finance preferred
Experience with hospital billing and collections processes, skills demonstrated in appealing and reducing denials
Independent thinking and decision-making ability in appealing and reducing denials
Excellent written, verbal, and interpersonal skills; ability to work in a team environment as well as independently
Strong analytical skills necessary to collect, analyze and interpret denials data, resolve complex problems

Preferred

Medical record audit and program development experience
Public speaking
Working knowledge of Interqual/Milliman admission criteria

Company

Trinity Health System

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As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve.

Funding

Current Stage
Late Stage

Leadership Team

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Matt Grimshaw
President and CEO
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Paul F. Wheeler -MBA, CHFM, ACHE
Vice President, Operations / COO
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Company data provided by crunchbase