Senior Analyst, Trend Analysis, Payor Escalations

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🕒 Maio 6

🏈 Alabama, Arizona, +18 estados a mais – Remoto

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌪️ Kansas – Remote 🦞 Maine – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

⏰ Tempo Integral

🟠 Sênior

🧐 Analista

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Knowtion Health

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2008

⚕️ Seguro de Saúde

💳 Fintech

☁️ SaaS

💰 Private Equity Round em 2020-09

Healthcare Insurance • Fintech • SaaS

A Knowtion Health é uma empresa que auxilia hospitais na gestão de reivindicações negadas e complexas, recuperação de contas de baixo saldo, e defesa contra auditorias de pagadores. Ao utilizar tecnologia avançada e uma equipe de especialistas, a Knowtion Health visa maximizar a receita e melhorar a experiência dos pacientes. Seus serviços incluem o tratamento de negações clínicas e a gestão de várias classes desafiadoras de pagadores, posicionando-se como um forte defensor para seus clientes no setor de saúde.

Descrição

• Perform detailed trend analysis and root cause investigation across Low Balance inventory, including denials, payment variances, adjustments, and returns. • Analyze claims, remittance, and payment data to identify payor behavior patterns, emerging issues, and revenue risks. • Support payor escalation preparation by completing detailed account reviews, summarizing findings, and documenting recommended next steps. • Maintain accurate payor escalation documentation, including issue details, supporting analysis, and resolution outcomes. • Perform monthly revenue reconciliation to ensure accuracy and completeness across source systems. • Execute analysis for trending requests and participate in cross-functional reviews to discuss findings and recommended actions.

🎯 Requisitos

• Bachelors degree (or equivalent experience) • 4-7+ years of progressive experience in hospital revenue cycle analytics, healthcare operations analytics, or equivalent experience in complex healthcare financial environments • Deep experience analyzing claim inventory, payor behavior, denials, and payment patterns with a proven ability to translate analysis into operational and financial impact • Strong background serving as a system analyst or senior business partner for revenue cycle systems, reporting platforms, or analytics technologies • Excellent organizational and analytical skills required along with written and verbal communication • Expert in analytical tools, including Microsoft Excel and the broader Microsoft Office Suite, with a demonstrated ability to capture, analyze, and present data clearly and concisely to a variety of audiences.

🏖️ Benefícios

• medical • dental • vision • life insurance • short term disability • long term disability • paid holidays • 401k • generous PTO policy