Senior Business Operations Analyst

Job description

Senior Business Operations Analyst 260000TF Description Responsible for collections and/or refunds of highly complex cases. Performs functions necessary to facilitate payment recovery including research, appeals, and follow up. Identify trends, potential resolutions and escalate to manager. Provide data related to reimbursement reductions, overages, delays, and non-payment. Evaluate accuracy of contract modeling, communicate findings, and escalate as appropriate. Participate in payer meetings to resolve issues. Responsible for ensuring solutions implemented and goals achieved. Identify and monitor CMS & payor rule changes and work to ensure compliance. Qualifications Minimum Education Bachelor's Degree (Preferred) Minimum Work Experience: 5 years Related patient accounting experience required, especially related to denial mitigation and root cause analysis (Required) Required Skills/Knowledge: Excellent working knowledge of complex contract reimbursement methodologies including transplant, global, APR DRGs among others. Proven analytical skills including ability to make recommendations based on financial analyses. Excellent PC skills including advanced skill proficiency in Access a...