Denials Management Analyst
University of Washington
- Financial Services
- Healthcare
- Management
- Engineering
- Administrative / Clerical
Job Details
Denials Management Analyst |
||||||||||||||||||
|
||||||||||||||||||
|
FPPS?or Faculty Practice Plan Services (University of Washington Physicians) is the practice group for more than 3,000 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center, UW Neighborhood Clinics, the UW School of Medicine, Valley Medical Center, and Airlift Northwest.?FPPS?members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Childrens Hospital.
JOB LOCATION:?Remote from?Washington State.?Option to work from Columbia Center in Downtown Seattle (701 5th Ave, Seattle) if preferred. POSITION SUMMARY: FPPS?is looking to add a Denials Management Analyst to our Patient Financial Services (PFS) Team. The Denials Management Analyst is responsible for evaluation and analysis of claim denial information and payer performance trends to maintain the quality and accuracy of our claims and improve processes to capture complete and accurate charges in the billing system. They will work collectively with other departments outside of PFS as needed (such as Analytics, Epic Applications teams, Contracting, etc.) Additionally, they will review and analyze data from third-party analytics and other defined sources to identify inappropriate variances from expected reimbursement by payers. MINIMUM QUALIFICATIONS: REQUIRED Bachelors Degree in business, mathematics, industrial engineering, health administration, or other related field 2-3 years of experience analytical, auditing or training experience in a Health Care environment 3-5 years of experience in business analysis and requirements definition with a thorough understanding of data analysis and documentation techniques Familiarity with Revenue Cycle workflows and reimbursement & billing regulations such as the WAC, CMS, DSHS and L&I. In-depth knowledge of testing methodologies, strong diagnostic, and problem-solving skills. OR a combination of equivalent education and/or experience DESIRED Experience using healthcare IT technologies, preference for Epic experience, particularly with Epic Resolute PB strongly preferred Experience in an academic healthcare environment preferred Expertise in Excel preferred Strong understanding of payer payment and policy rules Excellent oral, written, and interpersonal communication skills Knowledge of ICD10, CPT and HCPS coding and medical terminology WHAT YOULL BE DOING: Query, sort, and report on various charge data using data base query and reporting tools Conduct routine audits of claim denials to identify trends; using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards Runs ad-hoc analysis reports and customized queries upon request Interpret and analyze insurance data and use root-cause analysis to recommend and implement process improvements for impacted workflows or system changes Serve as a liaison between PFS and PB Applications teams as needed; opening tickets to update system rules, tracking progress and communicating changes to impacted teams Assists financial leaders in resolving revenue variances as requested Produce and distribute denial information summary reports Complete analysis of reimbursement variances, payor contract requirements, etc. to ensure that corrections are implemented Participate in educational opportunities to keep job knowledge updated and actively participant in UW Medicines Payer Plan Workgroup Excellent oral and written communication skills, with the ability to convey a positive and professional image, and to interact effectively with diverse personalities and backgrounds Perform other duties, as assigned |
||||||||||||||||||
|
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law. | ||||||||||||||||||
|
Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.
The University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu. COVID-19 VACCINATION REQUIREMENTEmployees of the University of Washington are required to be fully vaccinated against COVID-19 unless a medical or religious exemption is approved. Being fully vaccinated means that an individual is at least two weeks past their final dose of an authorized COVID-19 vaccine regimen. As a condition of employment, newly hired employees will be required to provide proof of their COVID-19 vaccination. View the Final candidate guide to COVID-19 vaccination requirement webpage for information about the medical or religious exemption process for final candidates. |
||||||||||||||||||
