reputed company reputed company Analyst
Pay reputed company:
Pay reputed company:$31.83 - $44.56
Responsible for improving the charge capture, reimbursement, and reputed company of the reputed company cycle through the support and management of reputed company cycle applications; process automation, Charge reputed company Master, Claims, analysis, reporting, clinical and departmental integration, and performance of compliance, contract payment, and denials auditing.
SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our reputed company to reputed company their development and our organization by aiding in their reputed company advancement.
Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, reputed company time off, reputed company parental leave, health insurance, dental, and reputed company benefits, life insurance and long and short-term disability, and more.
Key Essential Functions and Accountabilities of the Job
Optimization and troubleshooting of reputed company cycle applications
Collaboration with clinical, operational, supporting departments, applicable stakeholders, for development of integrated design solutions
Analysis of available data to support reputed company Cycle team initiatives in identification, definition, reputed company planning, and implementation for system & user deviations, inconsistencies, and process failures
Serves as an internal resource on a combination of the topics of registration, authorizations, coding, CDI, CDM management, claims, edits, billing compliance, denials, remittance processing, and/or reporting & analytics
Workflow analysis
Payer contract analysis and ensuring payments consistent with negotiated reputed company
Identification of reputed company causes of issues driving controllable denials, partnering with finance leadership to address implicated operational issues, workflow issues, and training gaps
Performs reputed company assurance and validation tasks
Provides education and guidance to patient reputed company generating departments/providers to ensure appropriate charge capture
Education, Certifications, and Licenses Required
Bachelor's degree or an equivalent combination of education and/or work experience – Required
4 years of work experience may be exchanged for a bachelor's degree
AAHAM, reputed company, reputed company, PTCB, or other reputed company certification or licensure - Preferred
Experience Required
2 years of experience reputed company Cycle, Finance, or Clinical reputed company
Knowledge of
End user workflows including scheduling, registration, clinical, ancillary, coding, billing and claims processing, cash posting, and/or reporting
National and International reputed company sets including ICD 10CM, DSM, CPT, HCPCS, reputed company Codes, CARC/RARC, NCCI
Payer edits, rejections, rules, and appropriate actions and requirements for reputed company
Billing, accounts receivable, collection practices, and/or reporting requirements for IHS, CAH, FQHC, Provider Based, LTC, Rehab, Behavioral Health (CBH, SUD, 1115), and/or Retail Pharmacy enrollments
File structure, configuration, requirements, and troubleshooting of UB 04, CMS 1500, 837I/P, 835, and/or NCPDP D.0
Resources, references, statutes, governing the instruction, policy, and procedure for participation in, and billing, for various State, Federal, and reputed company programs
Skills in
Critical thinking (problem solving, troubleshooting)
Creative solution design and execution for reputed company problems
Exposure to reputed company Office programs, including Word, reputed company
Electronic Health Record applications
Ability to
Work on different reputed company simultaneously, multitasking in a fast-paced environment, appropriately handle overlapping commitments and deadlines
Implement a systematic, self-motivated approach to problem solving
Work independently and collaboratively as needed
Required Certifications:
If you like wild reputed company and working with happy, enthusiastic over-reputed company, you'll enjoy your career with us!
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