Address
Form of work SUMMARY
The Denials and Payment Variance claims analyst is responsible for performing complex analyses and receipt of payment related to A/R not paid according to contract or denied by a carrier and or governmental agency. This position supports the needs of the revenue cycle departments, including Patient Access, Health Information Management, and Patient Accounting. Reports to the Manager, of Payment Variance and Denials.
ROLE RESPONSIBILITIES
Prepares /reviews statistical data reports to track and trend underpayments.
Maintains automated work que of accounts
Demonstrates proficiency in the ability to apply contracting analysis to claims resolution
Prepares analysis for payer meetings.
Identifies carrier issues are suggests measures for resolution.
Participates in staff meetings.
Other duties in support of CBO operations, as assigned by manager.
Adheres to all HIPPA and compliance standards.
Ability to multi-task, prioritize needs and meet required timelines.
Attention to detail and accuracy.
Proactively identifies areas of opportunity for improvement and effectively communicates to manager
Remains current with core knowledge of specific payer policies, contracts and administrative bulletins.
Demonstrates support for the mission, values and goals of the organization through behaviors that are consistent with
the CT Children's standards.
