Revenue Analyst – Rehab & Therapy Services

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🕒 2 days ago

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Shriners Children's

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1922

⚕️ Healthcare Insurance

🤝 Non-profit

🔬 Science

Healthcare Insurance • Non-profit • Science

Shriners Children's is a non-profit organization that has been providing specialized pediatric care for over 100 years. With a commitment to excellence, their compassionate team of doctors and nurses focuses on delivering personalized care across various specialties, including burn care, orthopedics, and pediatric rehabilitation. They also engage in innovative research aimed at improving medical treatments and the overall quality of life for children.

📋 Description

• Analyzing denials data, creating metrics, tracking and trending denials and results for the Central Auth Unit • Performing appeals, correcting bill hold edits, identifying and trending root causes • Reporting out findings, assisting in mapping out process improvement opportunities • Coordinating payor denials and audit activities for timely response • Communicating and coordinating with various individuals/distributions related to CAU claims denials and edits • Participating in internal and SHC system-wide revenue cycle meetings to improve processes • Analyzing KPI data and coordinating revenue cycle analytics for the CAU

🎯 Requirements

• High School Diploma/GED • Demonstrated experience in Rehab, Therapy Services revenue cycle • 5 years of Insurance authorization/eligibility disputes/denials • Expert health insurance knowledge, types of plans • Understanding of insurance verification, eligibility, coverage, benefits, and authorization • Strong analytical and problem solving skills

🏖️ Benefits

• All employees are eligible for medical coverage on their first day! • Eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. • Eligible for paid time off, life insurance, short term and long-term disability and Flexible Spending Account (FSA) plans. • Coverage is available to employees and their qualified dependents in accordance with the plans. • Additional benefits include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more!