Revenue Cycle Denials Analyst

2 weeks ago

Hartford, Connecticut, United States Connecticut Children's Full time
Job Title: Revenue Cycle Denials Analyst

At Connecticut Children's, we are seeking a highly skilled Revenue Cycle Denials Analyst to join our team. As a key member of our Revenue Cycle department, you will play a critical role in reducing denials and improving revenue cycle efficiency.

Key Responsibilities:
  • Identify and analyze denial trends to develop strategies for prevention and reduction.
  • Collaborate with clinical teams, operational partners, and payers to resolve denials and improve revenue cycle processes.
  • Develop and implement metrics and reports to track denial rates and identify areas for improvement.
  • Provide training and support to AR specialists and other denials accountable owners.
  • Conduct special projects and perform other related duties as required.
Requirements:
  • Associate degree in Data Analytics, Finance, Business, or related field; BS degree in Finance or related field preferred.
  • 8+ years' experience in related field may be considered in lieu of Associate's Degree.
  • 6+ years of prior experience required in a healthcare environment with solid knowledge of denial management and healthcare collections activities.
  • 5+ years of Epic Revenue Cycle modules required.
Preferred Qualifications:
  • Knowledge of organizational and departmental structure, systems, workflow, and operations policies/procedures pertaining to revenue cycle and healthcare finance.
  • Knowledge of payor CARC and RARC codes and denial classes.
  • Knowledge of third-party payer rules and regulations, hospital and/or physician billing operations, and hospital financial systems.
  • Advanced Excel skills, including the ability to produce graphs, charts, and tables, use spreadsheets efficiently, and perform calculations to process large volumes of data.
What We Offer:
  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for revenue cycle improvement, we encourage you to apply for this exciting opportunity.

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