Denial Prevention Analyst - Charge Capture - Full-time

Avera

  • Sioux Falls, SD
  • Permanent
  • Full-time
  • 1 month ago
Join the team at Avera!Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME.Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.You Belong at Avera: Competitive pay, front-loaded PTO and options for free health insurance, sign-on bonuses, various shifts to fit your lifestyle and opportunities for career growth.Join Avera as a Denial Prevention & Management Analyst - Charge Capture!Position Highlights:
  • Paid Time Off (PTO) available on Day 1!
  • Options for Free Health Insurance!
  • Positive Work Environment: Be part of an organization where we practice the mission in our daily operations.
  • Career Growth opportunities!
Job SummaryThe Denial Prevention Analyst (Technical) coordinates system-wide denial and denial prevention information across Avera Health.This individual will be responsible for reviewing technical Patient Access, HIM, and Business Office denials trends in order to identify and implement prevention opportunities.The Denial Prevention Analyst (Technical) serves as a liaison and information source between Avera Health’s Centralized Business Office, Health Information Management (HIM), Patient Access department, the Training, QA, and Compliance staff, and front-line staff at each facility.Education and/or Experience​​​​​​​
  • Bachelor’s degree preferred.
  • Four years of Revenue Cycle, Billing, Third-Party Payer, Managed Care, or Denials experience.
  • Knowledge of payer requirements, regulatory guidelines, and hospital reimbursement methodologies.
  • Experience standardizing revenue cycle processes and implementing best-practice workflows.
  • This position requires a valid driver’s license and that the employee is insurable by the Avera Health Automobile Liability Insurance carrier.
Work Schedule
  • Monday-Friday; 80hrs/2wks
PayThe hourly range for this position is listed below. Actual hourly rate dependent upon experience.
  • $23.75 - $30.25 per hour

Avera