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Senior Analyst
2 months ago
Level
Senior
Location
Bristol Hospital Group
Employment Type
Full Time
Educational Background
4 Year Degree
Work Schedule
1st Shift (Days)
Job Summary
At Bristol Hospital Group, we are committed to enhancing the health and well-being of our community. With a century of service, we strive to deliver exceptional care and support to our patients and their families. Our core values of Communication, Accountability, Respect, and Empathy (C.A.R.E.) guide our mission. As a recognized Magnet facility, we have been honored with awards for our innovative healthcare solutions, particularly during challenging times. We invite you to utilize your skills and compassion to elevate the patient experience and contribute to our mission.
Under the guidance of the Patient Accounts Manager, the Senior Financial Analyst - Denials will oversee comprehensive revenue compliance and enhancement initiatives across the hospital. This role involves collaborating with various departments to identify and implement process improvements within the revenue cycle, while educating staff on billing and coding regulations to minimize denials.
Key Responsibilities
- Manage hospital-wide denial processes effectively.
- Coordinate appeals with relevant hospital personnel.
- Provide monthly reports on denial activities, including appeal statuses and overturn rates.
- Educate hospital staff on billing, charging, and coding compliance to optimize revenue.
- Enhance the hospital's net revenues and cash collections by refining the revenue cycle.
- Present updates on regulatory or policy changes to the Hospital Revenue Cycle Committee and relevant clinical areas.
- Serve as an advisor to Department Heads on financial matters.
- Act as a resource for billing staff and financial counselors regarding billing and authorization queries.
- Prepare analytical reports on utilization, costs, and reimbursements from various payers.
- Assist with additional projects as required.
Education and Experience
Bachelor's Degree in a relevant field (Business Administration, Accounting, Finance) or equivalent experience. A minimum of one to three years of related experience is preferred.
Licensure and Certification
None required.
Training Requirements
Completion of general orientation upon hire, with annual training in Fire/Safety/Infection Control and other mandated programs.
Special Skills
Familiarity with healthcare applications and Medicare/third-party payer processes is essential. Proficiency in Excel and Word is required, and experience with decision support systems is advantageous.
Physical and Cognitive Requirements
Ability to engage in extended periods of sitting, with occasional bending and reaching. Attention to detail, strong analytical skills, and effective communication abilities are necessary.
Work Environment
Standard office conditions with adequate lighting and ventilation, including potential customer interactions and telephone communications.
Disclaimer
The above statements are intended to outline the general nature and level of work performed by individuals in this role. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required. All personnel may be required to perform duties outside of their normal responsibilities as needed.
