Denials Analyst

Salary Range: $22.97 - $31.67 Pay rates are determined based on experience and internal equity. Position Summary: Manage multiple projects including the denial process currently used at LVMC. Continually work to identify opportunities for workflow improvements. Collaborate with Director and Manager of Revenue Cycle to set goals, measure effectiveness and productivity, and identify the need for updated policies and/or procedures. Provide support to Revenue Cycle to ensure productivity and quality goals are met. Gather and assemble documentation related to monthly balancing, reports and research. Must work well under stress or tight deadlines. Must work well with supervisors, co-workers, patients/residents, family members and visitors. District Responsibility: Support of the District Mission and Values Demonstrate respect, professionalism and courtesy to all patients, visitors, other providers and coworkers, as delineated in the LVMC Commitment to Care. Constantly use C-I-CARE principles when communicating with others. Performance Improvement Activities Professional Development Position Duties/Responsibility: Knowledge of the appeals and denials processes for Medicare, Medi-Cal, and other private health insurance. Understanding of Insurance Billing and payments processing: EOBs, HCPCS, ICD10, CPT, and Medi-Cal crosswalk coding. Special projects with insurance denials, data entry and analysis. Education and implementation of new software system Must be extremely organized and possess excellent communication, interpersonal and problem-solving skills. Other Duties Assigned by Supervisor Essential Functions: Work independently and also with a team. The ability to be supervised. The ability to work as a team member. Multi tasks and balance multiple projects. Position Qualifications: Education: High School diploma or equivalent. Experience: Prefer 2+ years of experience working with commercial, Medicare, Medi-Cal and HMO insurance procedures. Working knowledge of full cycle billing and collection. Previous office/hospital experience preferred. Certifications: necessary. Skills/Ability: Excellent verbal skills required. Exhibits the ability to organize multiple assignments and follow through with accuracy. Exercise is good judgment under stress. Demonstrates initiative, emotional stability, tact and poise. LVMC reserves the right to modify the minimum requirements depending on the needs of the organization.