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Denials Management Business Analyst in Altamonte Springs, FL at AdventHealth

Date Posted: 1/9/2019

Job Snapshot

  • Job Schedule
    Full-Time
  • Job Category
  • Date Posted:
    1/9/2019
  • Job ID:
    18013647
  • Job Function
    Accounting/Finance
  • Travel
    Yes, 50 % of the Time
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Corporate

Job Description


Description

Denials Management Business Analyst AdventHealth Corporate

Location Address: 900 Hope Way Altamonte Springs, Florida 32714

Top Reasons To Work At AdventHealth Corporate

  • Great benefits
  • Immediate Health Insurance Coverage
  • Career growth and advancement potential
Work Hours/Shift:
  • Full-Time, Monday – Friday

You Will Be Responsible For:

  • Collects data from multiple sources as needed and is able to determine how to unify into a single data set when needed to complete necessary analyses
  • Analyzes data for insights into the denials management operations business, and for special prevention and denials management projects. This includes identifying denial trends by root cause, payor related issues, physician trends, etc.
  • Reports on daily operational statistics as requested by leadership (Supervisors, Managers, and Directors), key findings, insights and recommendations to respective counterparts and plays an active role if requested in any and all A/R Management, Billing, and Denials Management related group forums
  • Spearheads denials management prevention projects by gathering and analyzing data needed to support process improvement
  • Develops and maintains department dashboards and distributes reports to appropriate audiences. This includes departmental KPIs and reports, executive dashboards, staff productivity and quality reports, etc.


Qualifications
What You Will Need:
  • Associate’s degree and 2+ years of experience in data reporting applications
  • Proficiency in data warehousing and business intelligence platforms
  • Ability to understand insurance terms and payment methodologies
  • Ability to navigate accounts to perform research and gather additional information to identify root causes

Job Summary:

 

Under general supervision of the Executive Director of Denials Management, the Business Analyst provides analytical expertise to help run denials management department effectively and efficiently. Role involves collection of data in relation to billing, accounts receivable, denials, underpayments, appeals and audits. Respective data will need to be interpreted and analyzed.  Based on findings and insights, the analyst will convert data into meaningful financial, management and statistical reports that help maintain healthy operations and support special denials management projects. In addition, to analyzing the current state of operation utilizing the data, this position will need to be able to leverage data analytics to perform trend projections, identify opportunities for operational and financial improvement, increase reimbursements, reduce denials, and identify denial root causes. Adheres to AHS Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies.




This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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