Follow Us On LinkedIn (Link opens in a new window)
Accounts Receivable System Denials Analyst
Job Ref # 16489
SHARE THIS
Location:
Corporate
8100 Greenbriar St
Houston, TX 77054

Category: Professional

Job Type: Full-Time

Posted Date: Oct. 14, 2021

Note: This position is at our St. Catherine campus located at - 701 S. Fry Rd. Katy, TX 77450
 
JOB SUMMARY
System Denials Analyst analyzes all denials, write offs, and adjustments to identify net positive impactful opportunities at a facility and System-wide level that supports a focused response. The Analyst will communicate high dollar single opportunities as well as actionable trending to either specific facilities or across the System depending on the scope of the finding. The Analyst will maintain standardized reporting in centralized locations for all stakeholders in the process, as well as provide ad hoc reporting and data mining as findings dictate.

Requirements:

DUTIES AND RESPONSIBILITIES

PEOPLE - 30%

  1. Communicates openly in a transparent and professional demeanor during all interactions with customers and co-workers.
  2. Provides clear and concise communication of trending and findings to both front line team members and senior executives.
  3. Demonstrates the components of the ICARE values statement.
  4. Communicates in a time efficient and effective manner
  5. Provides proactive updates on initiatives that involve time and effort from peers and other employees.


FINANCE - 20%

  1. Communicates high dollar single opportunities as well as actionable trending to either specific facilities or across the System depending on the scope of the finding.
  2. Participates in departmental and hospital performance improvement plan
  3. Prioritizes opportunity for stakeholders based on financial benefit.


QUALITY/SAFETY - 10%

  1. Completes monthly reporting accurately and timely in support of appropriate organizational response.
  2. Reports accidents promptly and corrects minor safety hazards.
  3. Complies with applicable laws, regulations, guidelines and standards regarding safety and infection control issues.
  4. Follows all safety rules while on the job.


SERVICE - 30%

  1. Performs data mining and reporting activities that identify net positive impactful opportunities in denials and adjustments for the individual facilities and the System. (daily)
  2. Performs detailed reimbursement analyses independently and formulates appropriate modes of communication depending on the target population (regular activity)
  3. Compiles and distributes denials and adjustment trending summaries to all stakeholders (weekly)
  4. Schedules and maintains monthly taskforce appointments and attendee lists (regular activity)
  5. Creates Denials Taskforce Meeting agendas (weekly)
  6. Attends all business office and hospital based task force meetings (weekly)
  7. Records minutes from task force meetings, including next steps and ownership (weekly)
  8. Distributes summary of action items System-wide (monthly)
  9. Ensures consistency of task force approach System-wide (weekly)
  10. Acts as a liaison for issues affecting multiple hospitals to coordinate action items (daily)
  11. Provides support when IT related or systematic changes are needed (regularly)
  12. Owns System-wide Denials Tracker, ensures action items are updated timely (weekly)
  13. Measures success of task force by trending denials data for resolved issues (weekly)


GROWTH/INNOVATION - 10%

  1. Seeks new and increasingly beneficial approaches to data mining and reporting to best support the ability of the System to respond to findings and trending.
  2. Performs functions to complete action items utilizing available systems, as applicable.
  3. Completes all hospital required and job related in-services and applies the information needed.
  4. Performs audits of process and makes recommendations to denials leadership.


This position description is not intended to be all inclusive, and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required. The Houston Methodist Hospital reserves the right to revise or change job duties and responsibilities as the need arises.

 

Qualifications:

EDUCATION REQUIREMENTS
High School Diploma
Bachelors degree in Finance or Health Administration preferred.
 
EXPERIENCE REQUIREMENTS
5 years of experience analyzing payer data and business office transactions in a healthcare setting.
 
CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED
Not applicable
 

SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
    • Strong analytical abilities and experience with application such as Access and Excel
    • HIS experience preferred
    • Microsoft Office Products preferred, including Microsoft Outlook
    • Ability to manage multiple tasks at one time
    • Ability to manage a fast-paced environment
    • Strong ability to succinctly and accurately communicate high level trending and findings to executive leadership
 

Company Profile:

Houston Methodist is comprised of a nationally recognized academic medical center and seven community hospitals with a history of health care innovation. We have consistently been recognized by several national organizations as one of the nation's best places to work.

GO
Check Out - The Daily Dose News from the Houston Methodist Community (opens in a new window)
Houston Methodist Named Best Employer
Houston Methodist is excited to announce that Forbes and Statista have again named us a Top Employer in Texas. This is their third annual list highlighting noteworthy employers based on surveys from 80,000 Americans working for businesses with at least 500 employees. We at Houston Methodist are honored being featured …
Houston Methodist Hospital Named a ‘World’s Best Smart Hospital’
Houston Methodist is proud to announce that Houston Methodist Hospital is named a ‘World’s Best Smart Hospital 2021’. Newsweek and Statista partnered to develop a list of hospitals deemed best for integrating new technologies and data-driven opportunities as part of their delivery of health care. At Houston Methodist, we strive …
Houston Methodist Named No.1 Hospital in Texas
U.S. News & World Report has released its 2021-22 Best Hospitals list. Houston Methodist is excited to announce we’ve been ranked the No.1 Hospital in Texas for the 16th year in a row, and No.16 in the nation. We attribute this honor to the hard work of our dedicated staff, …

VISIT THE DAILY DOSE HOMEPAGE FOR MORE ARTICLES >>