Senior Patient Accounting Specialist
INTEGRIS Health
Denial Prevention Manager
Ensemble Health Partners
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $62,500 - $119,700 per year
Job Level
Mid-LevelSenior
About the role
- Performs ongoing process improvement of daily activities related to denials functions to ensure processes are performed efficiently and effectively; and works with appropriate departments to resolve recurring issues and correct underlying root causes for errors. Provides relevant guidance and works to resolve issues escalated by Service Line Supervisors, Operational Leader(s), Client Leader(s), and other participants related to denial avoidance. Responsible for interviewing, hiring, staffing, training, performance management and development of staff. Counsel and disciplines employees when necessary, in accordance with department and/or organizational policies. Develops, updates and implements job standards, job duties, departmental policies and performance appraisals for all areas of responsibility. Provides operational support to Service Line Analyst(s) and Supervisor(s) Oversee documentation of trends denial prevention findings into defined templates or create reports or summaries as needed. Performs reviews using all patient accounting, Host, Epic and related systems used across Ensemble Health Partners and summarizes trends concisely and actionably. Assists in strategic planning and establishes departmental goals to optimize performance and meet budgetary goals while improving operations to increase Client satisfaction and meet the financial goals of the organization Creates materials and trains Service Line Analysts, revenue cycle site directors, committee members, and revenue cycle staff as necessary on denials-related trends and issues impacting assigned client(s) and operational area(s) Performs other duties as assigned Travel to Client site(s) as needed This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Requirements
- Ensemble Required License: CRCR or CRCP-I Education Level: Bachelor’s Degree or Equivalent Experience Preferred Strong consideration given to CCS/COC/CIC and/or RN/LPN/BSN (does not need to be current) Medicare and Medicaid audit experience required. Proficient knowledge of Medicare, Medicaid and other third-party payer documentation, coding and billing regulations; Strong written and verbal communication skills to communicate in clear, concise terms to management at all levels and the ability to articulate complex regulatory information in layman's terms
