Revenue Cycle Analyst, Physician Billing

About the role

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

Responsibilities

• Participates & Reports on Weekly Graph & Workflow meetings on Denials trending for the Network.
• Identifies and performs root cause analysis of high-volume denials and underpayments, and presents the findings to the Revenue Cycle team.
• Communicates improvement opportunities and corrective actions based on findings.
• Act as Team Leader to ensure all team members are trained & aligned with established Desktop & policies & procedures.
• Performs analytical review of denials to support Revenue Operations, Case Management, Access, and the various clinical practices as it relates to denials and payment variances.
• Determines the reasons for denials, meets with appropriate Revenue Cycle leaders and Practice Management, and makes recommendations to prevent future denials and payment variances.
• Identifies problems in process flow or changes in payer's billing rules and regulations and governmental guidelines that create barriers to cash flow, workflows, and informing management.
• Collaborates with the Training department on developing education materials