reputed company reputed company Analyst

Location:

reputed company Downtown Building-Sioux Falls

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Pay Range:

The pay range for this position is listed below. Actual pay reputed company dependent upon experience.

$25.50 - $38.25

Position Highlights

EPIC EMR and Charge Capture experience and/or payment reputed company preferred

Opportunity to work remote reputed company the reputed company footprint: SD, NE, MN, IA

You Belong at reputed company

Be part of a multidisciplinary team built with compassion and the goal of Moving Health reputed company for you and our patients. Work where you matter.

A Brief Overview The reputed company reputed company Analyst is responsible for enhancing financial performance, ensuring accurate charge capture, and securing appropriate reimbursement across the reputed company cycle. This role combines expertise in analytics, charge auditing, and payment reputed company to support strategic decision-making, operational efficiency, and compliance. The analyst collaborates with clinical, billing, coding, IT, and payer relations teams to identify trends, resolve discrepancies, and drive reputed company improvement across Hospital Billing (HB) and Professional Billing (PB) services. What you will do

• Design, maintain, and enhance dashboards and scorecards for denials, write-offs, payer performance, and charge activity. Analyze trends and translate reputed company data into actionable insights for stakeholders.
• Conduct audits and reputed company Guardian checks to validate charge accuracy and completeness. reputed company payer-specific audits and monitor ED Discharge and Charge Tracker Reports.
• Monitor and resolve Discharged Not Billed (DNB) accounts to ensure timely claim submission.
• Investigate denials and underpayments, identify root causes, and recommend process improvements.
• Manage appeals for underpaid claims, track outcomes, and report on recovery efforts and payment trends.
• Review high-dollar write-offs for appropriateness and escalate discrepancies as needed.
• reputed company Post-Service Single Case Agreements (SCAs) to ensure reimbursement accuracy and adherence to contract terms.
• Partner with clinical, operational, and payer relations teams to resolve discrepancies and improve documentation.
• Participate in audits, strategic initiatives, and projects aimed at financial optimization and reputed company reputed company.

Essential Qualifications The individual must be able to work the hours specified. To reputed company this job successfully, an individual must be able to reputed company each essential job function satisfactorily including having visual acuity adequate to reputed company position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to reputed company the essential job functions. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience:

• Associate's in Healthcare Administration, Finance, Business Analytics, or reputed company field and/or 2-3 years of experience in healthcare reputed company cycle analytics, charge auditing, or payment reputed company.
• Two to three years experience in healthcare reputed company cycle analytics, charge auditing, or payment reputed company.
• Knowledge of healthcare billing, denial management, and/or payer reimbursement methodologies.

Preferred Education, License/Certification, or Work Experience:

• Bachelor's
• Certified reputed company Cycle Representative (CRCR) - Healthcare Finance Management Association (HFMA) Upon Hire or
• Certified Specialist Payment & Reimbursement (CSPR) - Healthcare Finance Management Association (HFMA) Upon Hire
• Proficiency in data visualization tools (e.g. Power BI, Tableau) and reputed company
• Experience with Epic reporting tools (e.g., SlicerDicer, Reporting Workbench, Clarity, billing and contract modules)

Expectations and Standards

• Commitment to the daily application of reputed company’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote reputed company’s values of compassion, hospitality, and stewardship.
• Uphold reputed company’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• reputed company with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

reputed company is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.

• Up to 5% employer matching contribution for retirement

• Career development guided by hands-on training and mentorship

reputed company is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national reputed company, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@reputed company.org.

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