Senior Financial Analyst, Denials

3 weeks ago

Bristol, United States BRISTOL HOSPITAL GROUP Full time
Job Details

Level
Senior

Job Location
BHI Valley St - Bristol, CT

Position Type
Full Time

Education Level
4 Year Degree

Job Shift
1st Shift (Days)

Job Summary

At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice.

Under the direction of the Patient Accounts Manager, the Senior Financial Analyst, Denials is responsible for coordinating hospital wide revenue compliance and revenue enhancement initiatives. With support from key areas throughout the hospital, this position will recommend and coordinate implementation of process improvements for the revenue cycle; educating departments, clinicians and revenue cycle participants on billing and coding regulations and commercial payor policies to ensure compliance to minimize denials.

Responsible for Hospital wide denial management.
  • Coordinates appeals process with appropriate hospital personnel.
  • Reports denial activity monthly including status of appeals and overturn rate.
  • Help to ensure revenue, billing, charging and coding compliance through educating hospital and provider personnel on current and changing regulations.
  • Improve hospital's net revenues, revenue compliance and cash collections by optimizing the hospital wide revenue cycle.
  • Present regulation or policy changes to the Hospital Revenue Cycle Committee on a monthly basis as well as the affected clinical areas.
Contributes to departmental goals and efficient operation of department.
  • Acts in an advisory capacity to Department Heads and others in financial matters.
  • Acts as a resource for billers and financial counselors in billing and authorization issues.
  • Prepares necessary reports analyzing utilization, cost, and reimbursement of various commercial and government payers.
  • Assists in other projects as assigned.


Qualifications

Education/Minimum Requirements

Bachelor's Degree in appropriate discipline (Business Administration, Accounting, Finance) or equivalent experience. One to three years related experience preferred.

State/Federal Mandated Licensure or Certification Requirements:

None

Bristol Hospital Mandated Educational Requirements:

General orientation at time of hire. Fire/Safety/Infection Control annually. Other programs as mandated by Hospital.

Special Requirements:

Familiarity with specialized health care applications as well as Medicare and third party payor appeal and payment processes and policies. Working knowledge of Excel and Word is required. Other decision support system software experience is beneficial.

Physical Requirements:

Extended sitting, together with occasional bending, reaching and stooping.

Work Environment:

Normal office conditions adequate lighting and ventilation. May include customer contact and telephone use.

Cognitive Requirements:

Attention to detail. Good analytical and decision making skills. Good written and verbal communication skills.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

  • Senior Commercial Credit Analyst

    6 days ago

    Bristol, United States Thomaston Savings Bank Full time

    If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Senior Commercial Credit Analyst Regular Full-Time 2 - Professionals Bristol, Bristol, CT, US 30+ days ago Requisition ID: 1350 Salary Range: $70,000.00 To 105,000.00 Annually Senior Commercial Credit...

  • Independent Medicare Broker/SFG

    7 days ago

    Bristol, United States Senior Financial Group National Contracting Center Full time

    Looking to grow your business as a Licensed Health Insurance Agent? Join Senior Financial Group as an Independent Career Agent (ICA) in Tennessee. Enjoy flexible hours, expert support from a strong local brand, and the opportunity to build generational wealth while serving seniors with Medicare products. This 1099 opportunity offers commissions and...

  • Senior Business System Analyst

    4 weeks ago

    Bristol, United States Lenox Corporation Full time

    JOB TITLE: Senior Business Systems AnalystDEPARTMENT: ITLOCATION: Bristol, PAREPORTS TO TITLE: Vice President of ITSCOPE OF POSITIONUnder the direction of the Vice President of IT and working in with selected IT Systems Integration (SI) partners, and cloud solution providers, and business leaders, support the business applications guiding Lenox’ business...

  • Senior Business System Analyst

    2 weeks ago

    Bristol, United States Lenox Corporation Full time

    JOB TITLE: Senior Business Systems AnalystDEPARTMENT: ITLOCATION: Bristol, PAREPORTS TO TITLE: Vice President of ITSCOPE OF POSITIONUnder the direction of the Vice President of IT and working in with selected IT Systems Integration (SI) partners, and cloud solution providers, and business leaders, support the business applications guiding Lenox’ business...

  • Senior Business System Analyst

    3 weeks ago

    Bristol, United States Lenox Corporation Full time

    JOB TITLE: Senior Business Systems AnalystDEPARTMENT: ITLOCATION: Bristol, PAREPORTS TO TITLE: Vice President of ITSCOPE OF POSITIONUnder the direction of the Vice President of IT and working in with selected IT Systems Integration (SI) partners, and cloud solution providers, and business leaders, support the business applications guiding Lenox’ business...

  • Research Analyst

    3 days ago

    Bristol, United States ESPN Full time

    Job Summary: The ESPN Research team utilizes all facets of media research (Nielsen, comScore, Adobe Analytics, as well as primary research to inform ESPN as well as the larger Walt Disney Company on how the sports category and specific sports content is performing and how the business can drive even greater consumption in the future. The analyst will...

  • Research Analyst

    2 days ago

    Bristol, United States ESPN Full time

    The ESPN Research team utilizes all facets of media research (Nielsen, comScore, Adobe Analytics, etc.) as well as primary research to inform ESPN as well as the larger Walt Disney Company on how the sports category and specific sports content is performing and how the business can drive even greater consumption in the future.The analyst will be responsible...

  • Business Process Analyst

    4 weeks ago

    Bristol, United States Data-Core System, Inc. Full time

    Job DescriptionJob DescriptionSalary: $50-$60/hr on C2CData-Core Systems a consulting, services and digital transformation solution provider helping businesses reshape their future with cutting-edge technologies and services, has an immediate opening for a Business Process Analyst in the Consulting Services Division.Description of DutiesMaintain an overall...

  • Portfolio Management Analyst

    3 weeks ago

    Bristol, United States Saxon Global Full time

    Project Portfolio Management Analyst provides analytics, reporting, and strategic consulting on the investment agenda to ensure performance from concept through benefits realization. Specialist organizes and manages the business case process, standards and organizational coaching to enable prioritization and decision making. Specialist provides assessment on...

  • Research Analyst

    4 days ago

    Bristol, Connecticut, 06010, Hartford County, CT, United States ESPN Full time

    The ESPN Research team utilizes all facets of media research (Nielsen, comScore, Adobe Analytics, etc.) as well as primary research to inform ESPN as well as the larger Walt Disney Company on how the sports category and specific sports content is performing and how the business can drive even greater consumption in the future.The analyst will be responsible...

  • Revenue Integrity Analyst

    3 weeks ago

    Bristol, United States BRISTOL HOSPITAL GROUP Full time

    Job DetailsJob Location BHI Valley St - Bristol, CT Position Type Full Time Education Level Not Specified Travel Percentage None Job Shift 1st Shift (Days) Job Category Finance Description At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing...

  • Pharmacist, Clinical Specialty Svcs

    7 days ago

    Bristol, United States Pharmacy Corporate Full time

    Pharmacist, Clinical Specialty Svcs (FT) Bristol, VA Job ID: 004F9D BALLAD CORPORATE Pharmacy - Pharmacy Corporate Full-time (scheduled 72 hrs or more per pay period) - Day Job Description SCOPE OF POSITION The Pharmacist, Clinical Specialty Services shall be responsible for the provision of specialty and clinical pharmacy services/pharmaceutical care as...

  • Pharmacist, Clinical Specialty Svcs

    2 weeks ago

    Bristol, United States Pharmacy Corporate Full time

    Pharmacist, Clinical Specialty Svcs (FT) Bristol, VA Job ID: 004F9D BALLAD CORPORATE Pharmacy - Pharmacy Corporate Full-time (scheduled 72 hrs or more per pay period) - DayJob Description SCOPE OF POSITIONThe Pharmacist, Clinical Specialty Services shall be responsible for the provision of specialty and clinical pharmacy services/pharmaceutical care as...

  • Staff Accountant

    3 weeks ago

    Bristol, United States Healthtrax Fitness & Wellness Full time

    POSITION OVERVIEW The Staff Accountant provides accurate and timely financial services to senior management and reports to Financial Planning and Analysis. Scope of accounting work includes 2 Holding companies and 18 subsidiaries. PRIMARY DUTIES AND RESPONSIBILITIES include and are not limited to Record Journal Entries. Reconcile Subsidiary accounts. ...

  • Senior Relationship Banker

    7 days ago

    Bristol, United States M&T Bank Full time

    Overview : Identifies customers' needs through the bank’s retail sales process to provide proactive sales solutions through customer outreach for basic and complex customer needs. Specializes in our branch customer experience through all retail and business sales interactions. Primary Responsibilities: Develop new customer relationships and expand and...

  • Staff Accountant

    6 days ago

    Bristol, United States Healthtrax Full time

    POSITION OVERVIEW The Staff Accountant provides accurate and timely financial services to senior management and reports to Financial Planning and Analysis. Scope of accounting work includes 2 Holding companies and 18 subsidiaries. PRIMARY DUTIES AND RESPONSIBILITIES include and are not limited to Record Journal Entries. Reconcile Subsidiary accounts....

  • Senior Social Media Specialist, College Sports

    2 weeks ago

    Bristol, Connecticut, 06010, Hartford County, CT, United States ESPN Full time

    ESPN is seeking a Senior Social Media Specialist to discover, develop, and distribute content across the ESPN social media platforms, with an emphasis on (but not limited to) college sports -- primarily football, M/W basketball, softball, baseball. An ideal candidate must have a passion and knowledge of sports (especially college sports), and have extensive...

  • Production Coordinator

    6 days ago

    Bristol, United States ESPN Full time

    Management Operations partners with nearly every division of ESPN and many across The Walt Disney Company to ensure ESPN’s Content business is operating at the highest level of efficiency and productivity. Content leaders focus their efforts on the fan while this team focuses on the personnel and business management aspects of how content comes to life....

  • Capital Project Manager

    4 weeks ago

    Bristol, United States Judge Direct Placement Full time

    Engineering Project ManagerAs the Capital Projects Manager, you will play a pivotal role in driving operational excellence and cost efficiency within our organization. Your responsibilities encompass a wide range of project management, engineering, and continuous improvement activities. Let’s break it down:Capital Expenditure (Capex) Management:Generate,...

  • REGISTERED NURSE

    6 days ago

    Bristol, CT 06010, USA, United States Genesis Healthcare LLC Full time

    Village Green of Bristol seeks full time RNs on day, evening, and night shifts!Benefits* Nursing Student Loan Debt Repayment and Tuition Assistance* Variable compensation plans* Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off* Tuition, Travel, and Wireless Service Discounts* Employee Assistance Program to support mental health*...