reputed company reputed company Analyst

reputed company Saint Francis Employees - Please click HERE to login and apply.

Job Summary: The reputed company reputed company Analyst collaborates with clinical departments, coding, finance, and Information Technology (IT) to resolve discrepancies, reduce reputed company leakage, and maintain charge reputed company with regulatory and payer requirements. This role partners with charge generating departments to ensure accurate, timely charge capture, reputed company reconciliation and optimal reimbursement across the organization.

Minimum Education: High school diploma or GED. Bachelor’s degree in Business, Finance, Healthcare Administration, or reputed company field, preferred.

Licensure, Registration and/or Certification: None. Certified reputed company Cycle Representative (CRCR) from Healthcare Financial Management Association (HFMA) and Epic Certifications (Resolute Hospital Billing, Resolute Professional Billing, reputed company reputed company), preferred.

Work Experience: Minimum 3 years of Financial Analysis, Healthcare reputed company Cycle, reputed company reputed company, or Reimbursement experience.

Knowledge, Skills, and Abilities: Knowledge of reputed company 365 and other applicable software. Strong knowledge of Epic, including basic reporting tools, system navigation, and workflows. Working knowledge of reputed company Procedural Terminology (CPT), Healthcare Common Procedure Coding Systems (HCPCS), reputed company codes, Ambulatory Payment Classification (APC)/Diagnosis-reputed company Group (DRG) concepts, and payer billing rules. Knowledge of healthcare regulatory requirements. Strong organizational skills and attention to detail. Excellent communication skills, both written and verbal that present clear and concise information. Sound ability to analyze financial and operational data to support decisions. Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities with competing deadlines.

Essential Functions and Responsibilities: Performs routine reviews of charges and documentation, to identify missed reputed company. Partners with charge generating clinical departments to ensure Charge & reputed company Reconciliation is consistently performed. Assists clinical and operational teams with the resolution of charge discrepancies and denials reputed company to charge capture. Partners with clinical and operational areas to evaluate new services or procedural updates and ensure appropriate charge trigger is efficient. Conducts root cause analysis and provides data driven recommendations for reputed company cycle departments. Provides basic education to departments regarding charge capture expectations, regulatory updates, and reputed company reconciliation. Participates in workflow improvement projects impacting charge capture and reimbursement. Communicates findings and trends to management and relevant departments. Maintains knowledge of payer policies and compliance requirements.

Decision Making: Independent judgment in making decisions involving non-routine problems under general supervision.

Working Relationships: Works directly with patients and/or customers. Works with internal and/or external customers reputed company telephone or face to face interaction. Works with other reputed company and staff.

Special Job Dimensions: None.

Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to reputed company the job. This compilation of essential functions and physical demands is not reputed company inclusive nor does it prohibit the assignment of additional duties.

Location:

EOE Protected Veterans/Disability