About this Hospital AR and Denial Management Analyst- Full Time Days role at Cape Fear Valley Health
Facility
Cape Fear Valley Medical CenterLocation
Fayetteville, North CarolinaDepartment
Patient Financial Services OperationsJob Family
ProfessionalWork Shift
Days (United States of America)Summary
Assist the Physician Revenue Cycle, CFV Medical Group and Provider Enrollment teams by reducing delays impacting Professional AR within CFV.Major Job Functions
The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:
Work with Physician Revenue Cycle on AR issues related to payer enrollment discrepancies and credentialing
Create Strategic Plan for AR resolution as it relates to credentialing and payer enrollment to help minimize impact on cash and create workflows to improve payer enrollment process
Manage and oversee the release of providers and holding of providers in Epic to ensure timely resolution and denial reduction
Identify areas for improvement while mitigating payment disruption
Trend and provide denial analysis and share results to foster improvement and denial reduction
Assist Director/PB Revenue Cycle, Managed Care leaders and Provider Enrollment manager on expanding delegated arrangements to expedite enrollment process and reduce delays and lag in enrollment process
Align Individual Group Tax ID to corporate strategic structure and help establish controls to ensure that structure and integrity is maintained
Other duties as assigned
Minimum Qualifications
The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:
Education and Formal Training:
Bachelor’s degree required OR in lieu of degree 10 years collective experience in Physician Accounts Receivable, Provider Enrollment, Provider Onboarding, Managed Care Contracting and Medical Staff Services as well as payer-related duties relating to credentialing and enrollment required
Work Experience:
5 years' experience required
Knowledge, Skills, and Abilities Required:
Proficiency in reading, writing, and speaking the English language
Excellent interpersonal skills with the ability to interact with internal hospital department leadership as well as outside organizations
Strong written and verbal skills, results oriented, and exemplify a team player attitude
Expert skills in Microsoft Word, Excel, PowerPoint and Access or other software as required
Willing and able to work on a variety of activities and projects
Ability to work with people in a tactful, diplomatic manner
Physical Requirements:
Present a professional image
Required Licenses and Certifications
Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity