Revenue Cycle Analyst – PFS Billing Services
Facility: Scripps Health Corp
Location: San Diego, CA
Career Area: Business Office
Employment Type: Full Time
Shift: Day
Job ID: 242006505
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Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers.
Job Description
This is a full-time benefit eligible position with a day shift located in San Diego.
Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.
Why join Scripps Health?
AWARD-WINNING WORKPLACE:
- #5 in Fortune Best Workplaces in Health Care 2023
- #78 in 2023 PEOPLE Companies that Care
- #95 in Fortune 100 Best Companies to Work for 2023
- Recognized by Newsweek as one of America’s Greatest Workplaces for Diversity in 2024
- Nearly a quarter of our employees have been with Scripps Health for over 10 years.
The Revenue Cycle Analyst is focused on root cause identification and process improvement specific to Access. The analyst will review and investigate errors, determine root causes and develop solutions and work with staff/departments across the enterprise to implement solutions. Analysts have a direct impact on patient safety and Access related denial reductions. Conducts analysis on a variety of accounts and reports, works to prioritize recommendations based on fiscal and volume impact. Works/researches accounts, errors as assigned utilizing internal and external resources. Responsible for overturning denied accounts and accurately merging patient records. Responsible for monitoring of Access related Databases including MPI, Payer/Plan database etc. in order to reduce misuse or redundancy. Provides workflow design, statistical analysis, quality reviews and audits. Makes recommendations for policy changes based on results. Responsible for site specific training as needed. Other duties as assigned.
Required Education/Experience/Specialized Skills:
- 3 years of experience healthcare/medical office environment.
- Proficient with Microsoft Office applications.
- Must possess excellent mathematical skills and ability to handle monies.
- Excellent communication and customer service skills.
- Strong organizational and analytical skills; innovative with ability to identify and solve problems.
- Able to adapt, prioritize and meet deadlines.
- Knowledge of payer contracts, medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG’s, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
Preferred Education/Experience/Specialized Skills/Certification:
- Experience in admitting/registration practices and processes.
- Report writing ability preferred.
In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer.
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.
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About Us
At Scripps, we seek dedicated, compassionate people to join our team and make a significant impact on the health of our community and the future of healthcare. Throughout our five hospital campuses, 30 outpatient centers and clinics, and hundreds of affiliated physician offices throughout the region, each member of our team plays a key role in our life-changing and life-saving mission. Scripps Health is the only San Diego-based company to make Fortune magazine’s 100 Best Places to Work. Our people and their commitment to the highest standards of care are what define us.
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