Steward Health Care System Denial Prevention Analyst I in Westwood, Massachusetts
Knowledge of health insurance and reimbursement/billing required.
Ability to comprehend payor responses (EDI), e.g. 271/272 transactions.
Excellent customer service skills.
Excellent communication skills (verbal and written).
Analytical skills, e.g. competent math skills (see below)
Basic knowledge of healthcare finance.
Promotes quality and demonstrates accuracy and thoroughness
Competent utilizing Microsoft office, e.g. Excel, PowerPoint, and Word (see below).
Familiarity and experience with Revenue cycle software, tools, and technologies.
Medical Terminology and working knowledge of Coding knowledge required.
Time management and flexibility to meet work schedule demands.
Good judgment and problem solving skills (escalation process).
Ability to work independently and take initiative.
Ability to work with a high degree of confidentiality.
Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment.
Proven ability and/or expressed willingness to work as part of a team.
Privacy, Safety and Security- the individual observes privacy, safety and security procedures and uses equipment and materials properly.
Associates degree required, Bachelor's Degree (BA or BS) with emphasis in Business Administration and/or Healthcare, preferred.
1-2 years experience in dynamic healthcare (clinic, physician, or hospital setting) or payor environment
Experience with patient collections, registration and/or scheduling.
Certified Healthcare Access Associate (CHAA) a plus.
Comfort with data entry within Revenue Cycle software, patient management systems and Windows based applications preferred.
Competent utilizing Microsoft Office (Excel, Word) is a plus.
Basic understanding of Revenue Cycle functions, flow, and operations strongly preferred.
Competent in core math skills required (determined by obtaining satisfactory score on competency exam).
Experience level will also be a factor in lieu of educational requirements.