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Revenue Analyst – Rehab & Therapy Services
Shriners Children'sRevenue Analyst for Shriners Children’s analyzing denials data and improving processes. Collaborating with CAU and Rehab, Therapy Services to enhance reimbursement and reduce denials.
About the role
Key responsibilities & impact- Analyzing denials data, creating metrics, tracking and trending denials and results for the Central Auth Unit
- Performing appeals, correcting bill hold edits, identifying and trending root causes
- Reporting out findings, assisting in mapping out process improvement opportunities
- Coordinating payor denials and audit activities for timely response
- Communicating and coordinating with various individuals/distributions related to CAU claims denials and edits
- Participating in internal and SHC system-wide revenue cycle meetings to improve processes
- Analyzing KPI data and coordinating revenue cycle analytics for the CAU
Requirements
What you’ll need- High School Diploma/GED
- Demonstrated experience in Rehab, Therapy Services revenue cycle
- 5 years of Insurance authorization/eligibility disputes/denials
- Expert health insurance knowledge, types of plans
- Understanding of insurance verification, eligibility, coverage, benefits, and authorization
- Strong analytical and problem solving skills
Benefits
Comp & perks- All employees are eligible for medical coverage on their first day!
- Eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service.
- Eligible for paid time off, life insurance, short term and long-term disability and Flexible Spending Account (FSA) plans.
- Coverage is available to employees and their qualified dependents in accordance with the plans.
- Additional benefits include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more!
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
data analysismetrics creationdenials trackingappeals processingbill hold edits correctionroot cause analysisKPI analysisrevenue cycle analyticsinsurance verificationeligibility disputes
Soft Skills
analytical skillsproblem solvingcommunicationcoordinationprocess improvement
Certifications
High School DiplomaGED