Steward Health Care
Denial Prevention Analyst II - REMOTE
This job is now closed
Job Description
- Req#: 110095
About the Employer:
As the country’s largest physician-led, minority-owned, integrated health care system, the employer offers a unique opportunity for prospective candidates. By joining the employer, candidates can contribute to revolutionizing the way health care is delivered, creating healthier lives, thriving communities, and a better world. With a network of hospitals, medical groups, urgent care centers, skilled nursing facilities, and behavioral health centers, the employer provides coordinated care and a sustainable cost model. With a commitment to diversity, equity, inclusion, and belonging, the employer values individuals from all backgrounds and does not discriminate based on non-job-related characteristics.
Key Responsibilities:
- Conduct financial analytics to determine a patient's overall financial responsibility within the employer's healthcare system.
- Interpret payor contracts and state/federal regulatory guidelines to maximize revenue realization.
- Reduce bad debt by ensuring patient collections and minimizing denials.
- Interact with patients to secure payment for scheduled care.
- Utilize healthcare finance knowledge and analytical skills to drive revenue optimization.
Required Knowledge and Skills:
- Familiarity with health insurance, reimbursement, and billing.
- Ability to comprehend payor responses and utilize EDI transactions.
- Excellent customer service and communication skills.
- Competent in math and analytical abilities.
- Basic knowledge of healthcare finance and revenue cycle operations.
- Conflict resolution and problem-solving skills.
- Proficiency in Microsoft Office and revenue cycle software.
- Understanding of medical terminology and coding.
Education/Experience/Certification/Licensure/Technical/Other:
- Associate's degree required; Bachelor's degree in Business Administration or Healthcare preferred.
- 1-2 years of experience in a healthcare or payor environment, focusing on patient collections, registration, or scheduling.
- Certification as a Healthcare Access Associate (CHAA) is a plus.
- Comfort with data entry and Windows-based applications.
Additional Information:
The employer is committed to diversity, equity, inclusion, and belonging. They do not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other non-job-related characteristic. Privacy, safety, and security are prioritized, and the employer expects confidentiality in all tasks. The ability to work independently and as part of a team is essential, along with flexibility and good judgment in a dynamic work environment.About the company
2 million people during more than twelve million physician and hospital visits annually.
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