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Revenue Cycle Analyst
3 weeks ago
Scripps Health Administrative Services supports our five hospitals and 19 outpatient facilities, which treat half a million patients annually through 2,600 affiliated physicians.
This is a Full Time, 8 hour shift, salaried position located at our Rancho Bernardo/4S Ranch Scripps Business Service. Once fully trained, this position will be a hybrid role: 2 days in office and 3 days work from home. Must be local in San Diego. If you are an organized, detailed oriented individual who likes to think outside the box and solve puzzles then this position is for you
Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.
**Why join Scripps Health?**
- AWARD-WINNING WORKPLACE:_
- #5 in Fortune Best Workplaces in Health Care 2023
- #78 in 2023 PEOPLE Companies that Care
- #95 in Fortune 100 Best Companies to Work for 2023
- Recognized by Newsweek as one of America’s Greatest Workplaces for Diversity in 2024
- Nearly a quarter of our employees have been with Scripps Health for over 10 years.
Come support our Business Services Team in this vital position that investigates and pursues revenue recovery opportunities for the organization. Join a small influential team that makes a true impact in the Scripps Experience.
As a Revenue Cycle Analyst, you will be focused on root cause identification and process improvement specific to Access. The analyst will review and investigate errors, determine root causes and develop solutions and work with staff/departments across the enterprise to implement solutions. Analysts have a direct impact on patient safety and Access related denial reductions. Conducts analysis on a variety of accounts and reports, works to prioritize recommendations based on fiscal and volume impact. Works/researches accounts, errors as assigned utilizing internal and external resources. Responsible for overturning denied accounts and accurately merging patient records. Responsible for monitoring of Access related Databases including MPI, Payer/Plan database etc. in order to reduce misuse or redundancy. Provides workflow design, statistical analysis, quality reviews and audits. Makes recommendations for policy changes based on results. Responsible for site specific training as needed. Other duties as assigned.
**Required Education/Experience/Specialized Skills**:
- 3 years of experience healthcare/medical office environment.
- Must possess excellent mathematical skills and ability to handle monies.
- Excellent communication and customer service skills.
- Strong organizational and analytical skills; innovative with ability to identify and solve problems. Able to adapt, prioritize and meet deadlines.
- Knowledge of payer contracts, medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
**Preferred Education/Experience/Specialized Skills/Certification**:
- Experience in admitting/registration practices and processes.
- Three years of patient accounts experience in a healthcare setting.
- Strong working knowledge of excel spreadsheets.
- Epic working experience preferred.
- Report writing ability preferred.
Position Pay Range: $30.83-$45.71/hour
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