Senior Business Operations Analyst

9 hours ago


Silver Spring, Maryland, United States Children's National Hospital Full time
Job Title: Senior Business Operations Analyst

At Children's National Hospital, we are seeking a highly skilled Senior Business Operations Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring the accurate and timely collection of complex case payments.

Key Responsibilities:
  • Ensure all assigned claims are followed up and/or appealed in a timely manner to maximize reimbursement.
  • Manage large volumes of line item denials, underpayments, and overpayments, and various appeal deadlines to prioritize workload and maximize reimbursement.
  • Conduct root cause analysis of issues reducing reimbursement & slowing payment cycle, identify key issues, and assist in tracking, trending, and reporting.
  • Present data and analysis clearly to all levels of staff and management, and meet with manager and outside departments to review issues and develop action plans.
Requirements:
  • Bachelor's Degree (Preferred)
  • Minimum 5 years Related patient accounting experience required, especially related to denial mitigation and root cause analysis (Required)
  • Excellent working knowledge of complex contract reimbursement methodologies, including transplant, global, APR DRGs, and others.
  • Proven analytical skills, including ability to make recommendations based on financial analyses.
  • Excellent PC skills, including advanced skill proficiency in Access and Excel spreadsheet analysis.
What We Offer:
  • A dynamic and supportive work environment
  • Opportunities for professional growth and development
  • A competitive salary and benefits package


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