Event Coordinator
BRINC Drones
Denials Prevention Analyst, Physician-Based
Advocate Aurora Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Wisconsin • 🇺🇸 United States
Visit company websiteSalary
💰 $28 - $42 per hour
Job Level
Mid-LevelSenior
About the role
- Partner with Senior Analyst to perform root cause analysis across large volumes of denials data to identify areas of interest and opportunities
- Evaluate and maintain proper level of data integrity within denial mitigations databases
- Support claims denials reductions and increased revenues through process redesign, root cause analysis, and development of metrics and reports
- Track and analyze denial data to identify, recommend, and implement opportunities to secure legitimate revenue
- Identify trends or patterns that impact payment optimization and collaborate with departments to establish action plans, initiatives, and policies
- Analyze and review third party payer denial of medical claims and develop and execute strategies to decrease denials system wide
- Identify revenue opportunities and provide appropriate investigation, follow up and resolution
- Implement plans and partner with Managed Care Contracting to ensure proper adherence to contracts
- Generate and audit various revenue, financial, statistical and/or quality reports surrounding the denial prevention area of focus
- Serve as liaison to department administration, physicians, clinic administration, information services, business offices, financial offices, and other stakeholder departments
- Perform other related duties and travel as required
Requirements
- Bachelor's Degree or equivalent knowledge (Finance, Healthcare Finance, Accounting, Audit or related field)
- Typically requires 3 years of experience in medical billing, healthcare finance, accounting, internal audit and/or coding
- Experience identifying problems and opportunities for improved workflows, developing processes and procedures to reduce denials, and consulting with leadership on complex denial issues
- Ability to communicate with key executive stakeholders, system-wide, at both institutional and corporate levels
- Skills and experience in successfully leading a functional team and training staff on processes and procedures
- Demonstrated ability to work collaboratively with other departments and external organizations
- Excellent written and verbal communication skills
- Ability to effectively address difficult and controversial issues
- Strong analytic, time management and organizational skills, with a high attention to detail
- Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint) or similar products
- Knowledge of electronic health systems
- Ability to travel as required
Benefits
- Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs
- Competitive compensation
- Base compensation within listed pay range based on qualifications and experience
- Premium pay such as shift, on call, and more
- Incentive pay for select positions
- Opportunity for annual increases based on performance
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
root cause analysisdata integrityprocess redesignmetrics developmentdenial data analysispayment optimizationmedical claims analysisrevenue investigationfinancial reportingaudit
Soft skills
communicationcollaborationleadershipproblem-solvingorganizational skillstime managementattention to detailtrainingconsultingstakeholder engagement
