Revenue Analyst – Rehab & Therapy Services

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🕒 il y a 8 jours

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Shriners Children's

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1922

⚕️ Assurance santé

🤝 À but non lucratif

🔬 Science

Healthcare Insurance • Non-profit • Science

Shriners Children's est une organisation à but non lucratif qui offre des soins pédiatriques spécialisés depuis plus de 100 ans. Engagés pour l'excellence, leur équipe compatissante de médecins et d'infirmières s'efforce de fournir des soins personnalisés dans diverses spécialités, y compris les soins pour les brûlures, l'orthopédie et la rééducation pédiatrique. Ils s'engagent également dans des recherches innovantes visant à améliorer les traitements médicaux et la qualité de vie globale des enfants.

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

🎯 Exigences

• 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

🏖️ Avantages

• 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!