Senior Denial Prevention Process Improvement Advisor
Ensemble Health Partners
full-time
Posted on:
Location Type: Remote
Location: Ohio • United States
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Salary
💰 $69,000 - $104,100 per year
Job Level
About the role
- Leads the performance of deep dive analysis on clinical and technical denials
- Utilizes analytics tools to identify patterns and trends relative to acute denials
- Applies high level problem-solving skills to perform root cause analysis
- Guides and influences subject matter experts through assessments of operations
- Oversees completion of denial prevention committee reports and summaries
- Establishes and maintains client relationships to drive best practice implementations
- Aggregates and advances team recommendations for correcting underlying issues
Requirements
- 4 year/ Bachelors Degree in Healthcare administration, Business or related discipline
- Project Work
- Intermediate Excel & Access Skills
- Project Management
- Data Analytics
- Certified Specialist Managed Care (CSMC) preferred
- LEAN Six Sigma Black Belt preferred
- Certified Revenue Cycle Representative (CRCR) preferred
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analyticsroot cause analysisintermediate Excel skillsintermediate Access skillsproject management
Soft Skills
problem-solvingclient relationship managementinfluencingguidingteam collaboration
Certifications
Certified Specialist Managed Care (CSMC)LEAN Six Sigma Black BeltCertified Revenue Cycle Representative (CRCR)