Sr Denial Mgmt Analyst
Apply NowCompany: Harris Health System
Location: Houston, TX 77084
Description:
About Us
Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston.
Job Profile
Job Summary
Responsible for submitting IT requests related to charges that need to be added or updated in the Charge Description Master (CDM); and facilitating the identification of the most appropriate billing codes based on coding requirements and departmental information. Researches, prepares and tracks denials, and conducts spreadsheet analysis. Also, assists the Senior Manger of Denial Management and Manager of Insurance Verification with tracking outside requests, maintaining reports, and establishing relationships with payors and/or other Harris Health System departments to reduce denials. Supervises staff, schedules, and daily operations to ensure that these functions are carried out timely and accurately.
Minimum Qualifications
Degrees / Work Experience / School Education:
Bachelor's Degree Health Administration or Business or equivalent work experience. (And) Seven (7) Years Work Experience office analyst, patient accounting, charge capture, Charge Master Maintenance or other revenue cycle functions. Understanding of pricing methodology, CDM or HCPCS.
(Or)
High School Diploma (And) Eleven (11) Years Work Experience office analyst, patient accounting, charge capture, Charge Master Maintenance or other revenue cycle functions. Understanding of pricing methodology, CDM or HCPCS
Communication Skills:
Above Average Verbal (Heavy Public Contact)
Writing /Correspondence
Writing /Reports
Proficiencies: P.C.
Job Attributes
Knowledge/Skills/Abilities:
Analytical, Mathematics, Medical Terms, Statistical
Work Schedule: Full Time Telecommuter (eligible)
Equipment Operated: MS Excel, Basic skills on Word and Outlook, PC
Benefits and EEOC
Harris Health System's benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System's benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.
It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless of political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.
Job Category
Professional
Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston.
Job Profile
Job Summary
Responsible for submitting IT requests related to charges that need to be added or updated in the Charge Description Master (CDM); and facilitating the identification of the most appropriate billing codes based on coding requirements and departmental information. Researches, prepares and tracks denials, and conducts spreadsheet analysis. Also, assists the Senior Manger of Denial Management and Manager of Insurance Verification with tracking outside requests, maintaining reports, and establishing relationships with payors and/or other Harris Health System departments to reduce denials. Supervises staff, schedules, and daily operations to ensure that these functions are carried out timely and accurately.
Minimum Qualifications
Degrees / Work Experience / School Education:
Bachelor's Degree Health Administration or Business or equivalent work experience. (And) Seven (7) Years Work Experience office analyst, patient accounting, charge capture, Charge Master Maintenance or other revenue cycle functions. Understanding of pricing methodology, CDM or HCPCS.
(Or)
High School Diploma (And) Eleven (11) Years Work Experience office analyst, patient accounting, charge capture, Charge Master Maintenance or other revenue cycle functions. Understanding of pricing methodology, CDM or HCPCS
Communication Skills:
Above Average Verbal (Heavy Public Contact)
Writing /Correspondence
Writing /Reports
Proficiencies: P.C.
Job Attributes
Knowledge/Skills/Abilities:
Analytical, Mathematics, Medical Terms, Statistical
Work Schedule: Full Time Telecommuter (eligible)
Equipment Operated: MS Excel, Basic skills on Word and Outlook, PC
Benefits and EEOC
Harris Health System's benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System's benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.
It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless of political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.
Job Category
Professional