Senior Analyst, Trend Analysis, Payor Escalations

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🕒 il y a 1 mois

🏈 Alabama, Arizona, +18 états de plus – Distant

🏈 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

⏰ Temps Plein

🟠 Senior

🧐 Analyste

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Knowtion Health

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2008

⚕️ Assurance santé

💳 Fintech

☁️ SaaS

💰 Private Equity Round en 2020-09

Healthcare Insurance • Fintech • SaaS

Knowtion Health est une entreprise qui aide les hôpitaux à gérer les réclamations refusées et complexes, à recouvrer les comptes à faible solde et à se défendre contre les audits des payeurs. En utilisant une technologie avancée et une équipe d'experts, Knowtion Health vise à maximiser les revenus et à améliorer l'expérience des patients. Leurs services incluent le traitement des refus cliniques et la gestion de diverses classes de payeurs complexes, ce qui les positionne comme un défenseur fort pour leurs clients dans le secteur de la santé.

Description

• 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.

🎯 Exigences

• 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.

🏖️ Avantages

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