What are the responsibilities and job description for the Denials Management Prevention Analyst position at AdventHealth Porter?
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule:
Full timeShift:
Day (United States of America)Address:
6061 S WILLOW DRCity:
GREENWOOD VILLAGEState:
ColoradoPostal Code:
80111Job Description:
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:
- Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
- Paid Time Off from Day One
- 403-B Retirement Plan
- 4 Weeks 100% Paid Parental Leave
- Career Development
- Whole Person Well-being Resources
- Mental Health Resources and Support
- Pet Benefits
Job Description
- Collects, analyzes, and reports data for insights into denials management operations and special prevention projects.
- Communicates and presents insights and recommendations to the denials management committee on prevention activities.
- Coordinates material and provides updates for key denials prevention program documentation.
- Reviews managed care contracts and compares them against patient claims to identify and prevent claim underpayments.
- Provides feedback to managed care on identified underpayment issues for remediation with the payor.
- Strong keyboard and 10 key skills
- Proficiency in Microsoft Suite applications, specifically Excel and Word applications, as well as Outlook
- Strong quantitative, analytical and organization skills
- Strong problem solving skills
- Proficiency in data warehousing and business intelligence platforms
Education:
- High School Grad or Equiv [Required]
Field of Study:
- N/A
Work Experience:
- 5 years related experience [Required]
- Experience in Billing, A/R follow up and denials management functions [Preferred]
- Prior reporting and analytics background [Preferred]
Additional Information:
- N/A
Licenses and Certifications:
- N/A
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:
$56,385.46 - $104,868.08This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Salary : $1,000 - $1,000,000