Job Description:
The Denials Analyst is responsible for tracking denials across the organizations and mitigating root causes contributing to an increase of denials and a loss of revenue. They must be able to apply a robust understanding of revenue cycle best practices and Epic navigation skills to research accounts, identify trends, and recommend changes to care site and revenue cycle leadership. The analyst should also be able to lead committee meetings and present their findings to diverse business audiences ranging up to C-suite level with confidence and professionalism. All duties should be performed in a manner which promotes teamwork and reflects Intermountain mission, vision and values.
Essential Functions
Serve as a subject matter expert across the organization to mitigate losses from denials.
Ensure optimal performance in all areas of denial prevention in compliance with policy and regulatory requirements.
Lead and drive denials prevention projects through collaboration with leadership and care sites.
Participate in process re-engineering, projects and committees to improve the efficiency of the business
Identify system and process improvement opportunities to reduce and prevent denials.
Perform root cause analysis, then prepare and implement action plans.
Provide recommendations for improvement of efficiency in processes to RSC Management team.
Meet or exceed department standards and goals.
Skills
Analytical Thinking
Accountability/ability to work independently
Continual Process Improvement
Revenue Cycle Operations
Action Planning
Taking Initiative
Microsoft Office
Communication (oral and written)
Knowledge of medical billing and collections
Read and interpret EOB's (Explanation of Benefits).
Physical Requirements:
Qualifications
Three (3) Years of work-related experience in medical claims and follow-up
Preferred
HFMA Certification
Epic systems experience
Five (5)+ years of experience in medical billing/claims follow up
Physical Requirements
Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Location:
Peaks Regional Office
Work City:
Broomfield
Work State:
Colorado
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$29.05 - $44.24
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
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