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Steward Health Care System Denial Prevention Analyst I in Westwood, Massachusetts

Responsibilities:

  • 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.

  • Conflict resolution

  • 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.

Qualifications:

  • 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.

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