Revenue Cycle Management Analyst I Denials Prevention

University Hospitals   Beachwood, OH   Full-time
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Position Summary:

This position supports revenue cycle operations through the set-up, configuration, analysis, monitoring, and maintenance of the system and operational training support. 

 

Command Center customer support:

  • Provides daily technical and application support for Revenue Cycle end users.
  • Performs audits and analyses of accounts receivable/transactions to ensure the accuracy of claims/receivables, identifies issues, and recommends solutions. 
  • Creates and distributes end user communications in a timely manner.
  • Assists with revenue cycle system builds and software updates to ensure smooth continued operations.

Reporting:

  • Generates reports including writing complex queries to perform analysis on data within the Revenue Cycle. Uses independent judgment to write queries that extract the necessary data from the Revenue Cycle software.
  • Reviews reports to ensure the integrity of shared computerized billing/reporting systems and makes recommendations for improvements.
  • Analyzes reports to determine processing issues/aged accounts and implements procedures for resolution.
  • Maintains access to and serves as administrator for all payer websites, software and specific sites for the Central Business Office.
  • Assist Revenue Cycle departments with Special Projects and various duties as assigned.

 

*This role may encounter Protected Health Information (PHI) as part of regular responsibilities.  UH employees must abide by all requirements to safely and securely maintain PHI for our patients.  Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace


Position Summary:

This position supports revenue cycle operations through the set-up, configuration, analysis, monitoring, and maintenance of the system and operational training support. 

 

Command Center customer support:

  • Provides daily technical and application support for Revenue Cycle end users.
  • Performs audits and analyses of accounts receivable/transactions to ensure the accuracy of claims/receivables, identifies issues, and recommends solutions. 
  • Creates and distributes end user communications in a timely manner.
  • Assists with revenue cycle system builds and software updates to ensure smooth continued operations.

Reporting:

  • Generates reports including writing complex queries to perform analysis on data within the Revenue Cycle. Uses independent judgment to write queries that extract the necessary data from the Revenue Cycle software.
  • Reviews reports to ensure the integrity of shared computerized billing/reporting systems and makes recommendations for improvements.
  • Analyzes reports to determine processing issues/aged accounts and implements procedures for resolution.
  • Maintains access to and serves as administrator for all payer websites, software and specific sites for the Central Business Office.
  • Assist Revenue Cycle departments with Special Projects and various duties as assigned.

 

*This role may encounter Protected Health Information (PHI) as part of regular responsibilities.  UH employees must abide by all requirements to safely and securely maintain PHI for our patients.  Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace


Education:

  • High School Diploma required

 

Experience & Knowledge:

  • Minimum 3 years of financial analysis, collection, billing or follow-up experience knowledge required.
  • Demonstrated knowledge of claims submission (UB92's and/or HCFA) or receivables management required. 
  • Extensive knowledge of third party payers required.
  • Knowledge of ICD Diagnosis, ICD Procedure codes,   CPT codes and medical terminology required.
  • Must be detail-oriented and organized, with good analytical and problem solving ability.
  • Notable client service, communication, presentation and relationship building skills required. 
  • Ability to function independently and as a team player in a fast-paced environment required. 
  • Must have strong written and verbal communication skills.
  • Must be proficient in data entry skills.

 

 Special Skills & Equipment Knowledge:

  • Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e., printers, copy machine, FAX machine, etc.) required.
  • Knowledge of Soarian, Quadax, Athena and/or Affinity software and query language preferred.

This job is no longer available.

University Hospitals

Beachwood, OH