Manager Denials Analytics & Improvement - Revenue Integrity Process

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Penn State Health - Penn State Health Corporation

Location: US:PA: Hershey

Work Type: Full Time

FTE: 1.00

Shift: Day

Hours: 8:00a - 4:00p

Recruiter Contact: Garrett C. Kieffer at [email protected]

SUMMARY OF POSITION:

Responsible for overseeing and optimizing the processes related to the identification, resolution, and prevention of denied claims within revenue cycle. This includes both hospital and professional denials. This role focuses on analyzing denial trends, identifying root causes, and implementing corrective actions to reduce claim denials and improve reimbursement and reduce follow-up work needed by PFS staff. By collaborating with cross-functional teams, the manager works to enhance workflows, ensure adherence with payer requirements, and drive continuous improvements that prevent future denials. The ultimate goal is to minimize financial losses, improve operational efficiency, and ensure a seamless revenue cycle process for the organization. This position manages the Analytics & Improvement team and engages in the performance management of staff.

MINIMUM QUALIFICATION(S):

• Bachelor's Degree or equivalent experience (4 years)
• Nine (9) years job related experience required.

WHY PENN STATE HEALTH?

Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.

Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:

• Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
• Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.
• Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.
• Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.
• Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.

WHY PENN STATE HEALTH CORPORATION?

There are many ways to make an impact with one of the leading research, teaching, and clinical healthcare systems in the country. Through a combination of operational, corporate, clinical, and nonclinical roles, we are advancing excellence and innovation in health care together as one team. As Penn State Health continues to evolve for the future, we are committed to hiring dedicated employees who are passionate about delivering the best possible support across our entire integrated health system.

Within Penn State Health's Shared Services Entity, we encourage our employees at every turn to continue their education and advancement. Numerous opportunities are available for professional development and career growth.

YOU TAKE CARE OF THEM. WE'LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence - that's Penn State Health. But what makes our healthcare award-winning? That's all you.

This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health's policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination.

Union: Non Bargained

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