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Revenue Cycle Denials Analyst
IMHRevenue Cycle Denials Analyst at Intermountain Health mitigates denials and enhances revenue cycle operations. Track, analyze, and improve processes through collaboration and recommendations.
About the role
Key responsibilities & impact- Leverage training and experience to track denials across the organization
- Mitigate root causes contributing to an increase of denials and loss of revenue
- Apply understanding of revenue cycle best practices and billing software navigation skills to research accounts and identify trends
- Recommend changes to care sites, clinics, and revenue cycle leadership
- Provide support and training; spearhead operational reviews and present findings to diverse business audiences
- Serve as a subject matter expert to mitigate losses from denials
- Ensure optimal performance in denial prevention in compliance with policy and regulatory requirements
- Lead and drive denials prevention projects through collaboration with leadership and care sites
- Implement strategies to enhance the efficiency and accuracy of revenue cycle operations
- Analyze data to identify trends, areas of system and process improvement, and opportunities for optimization
- Perform root cause analysis and prepare and implement action plans
- Provide recommendations for efficiency improvements to Revenue Cycle leaders
- Meet or exceed department standards and goals
- Implement best practices and stay abreast of industry trends for ongoing improvement
Requirements
What you’ll need- Demonstrated experience in Revenue Cycle medical claims management
- Exceptional organizational skills
- Strong presentation skills and oral and written communication skills
- Ability to build and maintain strong relations and collaborate effectively with cross-functional teams
- Strong analytical skills and the ability to interpret data to drive informed decisions
- Strong attention to detail with an ability to maintain a high level of accuracy
- Bachelor’s Degree in Finance, Business or related field from an accredited university (Preferred)
- HFMA Certification (Preferred)
- Epic systems experience (Preferred)
- Five (5) years of experience in medical billing/claims follow up (Preferred)
Benefits
Comp & perks- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
- Wellness programs
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycle managementmedical claims managementdata analysisroot cause analysisbilling software navigationefficiency improvement strategiestrend identificationaction plan implementationdenials preventionoperational reviews
Soft Skills
organizational skillspresentation skillsoral communicationwritten communicationrelationship buildingcollaborationanalytical skillsattention to detailaccuracyinformed decision making
Certifications
HFMA Certification