Denial Prevention Analyst I Steward Health Care 74 reviews - Quincy, MA
This position is responsible for conducting financial analytics into a
patient's overall financial responsibility as it relates to upcoming
care within the Steward Healthcare System. Analysis will leverage the
interpretation of payor contracts as well as state and federal
regulatory guidelines to maximize revenue realization. These efforts
will result in increased net revenues by reducing bad debt from
potential write-offs due to lack of patient collections and denials.
Interactions will primarily be conducted with patients and results of
efforts will drive actions to secure payment for scheduled patients.
Responsibilities: * Knowledge of health insurance and
reimbursement/billing required. * Ability to comprehend payor responses
(EDI), e.g. 271/272 transactions. * Excellent customer service skills. *
Excellent communication skills (verbal and written). * Analytical
skills, e.g. competent math skills (see below) * Basic knowledge of
healthcare finance. * Conflict resolution * Promotes quality and
demonstrates accuracy and thoroughness * Competent utilizing Microsoft
office, e.g. Excel, PowerPoint, and Word (see below). * Familiarity and
experience with Revenue cycle software, tools, and technologies. *
Medical Terminology and working knowledge of Coding knowledge required.
- Time management and flexibility to meet work schedule demands. * Good
judgment and problem solving skills (escalation process). * Ability to
work independently and take initiative. * Ability to work with a high
degree of confidentiality. * Ability to manage multiple tasks
simultaneously and adjust to issues as needed in a dynamic work
environment. * Proven ability and/or expressed willingness to work as
part of a team. * Privacy, Safety and Security- the individual observes
privacy, safety and security procedures and uses equipment and materials
properly. Qualifications: * Associates degree required, Bachelor's
Degree (BA or BS) with emphasis in Business Administration and/or
Healthcare, preferred. * 1-2 years experience in dynamic healthcare
(clinic, physician, or hospital setting) or payor environment *
Experience with patient collections, registration and/or scheduling. *
Certified Healthcare Access Associate (CHAA) a plus. * Comfort with data
entry within Revenue Cycle software, patient management systems and
Windows based applications preferred. * Competent utilizing Microsoft
Office (Excel, Word) is a plus. * Basic understanding of Revenue Cycle
functions, flow, and operations strongly preferred. * Competent in core
math skills required (determined by obtaining satisfactory score on
competency exam). * Experience level will also be a factor in lieu of
educational requirements. 3 hours ago - save job - original job Apply On
Company Site * Denial Prevention Analyst jobs in Quincy, MA * Jobs at
Steward Health Care in Quincy, MA * Denial Prevention Analyst salaries
in Quincy, MA Steward Health Care Steward Health Care 74 reviews Steward
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