Professional Billing Accounts Receivable (AR) Revenue Cycle Analyst in San Diego, CA at Scripps Corporate Offices

Date Posted: 6/23/2019

Job Snapshot

Job Description

At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.
You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.

Come support our Business Services Team as a Professional Billing Accounts Receivable (AR) Revenue Cycle Analyst. In this position, the candidate will be responsible for analysis of accounts receivable and denial trending for Professional Billing.

As the Professional Billing Accounts Receivable (AR) Revenue Cycle Analyst you will be focused on root cause identification and process improvement specific to AR and denials. In your role, you will review and investigate errors, determine root causes, develop solutions and work with staff/departments across the enterprise to implement solutions. You will have a direct impact on maximizing collections and reducing inflow of denials. You are responsible for conducting analysis on a variety of accounts and reports, works to prioritize recommendations based on fiscal and volume impact. In your role you will work/research accounts, errors as assigned utilizing internal and external resources. Provide workflow design, statistical analysis, quality reviews and audits. As well as make recommendations for payor policy changes based on results. The ideal candidate will possess high organizational skills and can be successful at pushing initiatives forward with little supervision or guidance. He/she will also have the ability to think “outside the box” to assist the manager and director of the unit in determining root causes to resolve any issues.

This is a Full Time, Salaried position, located at our 4S Ranch/Rancho Bernardo Business Services office.

Job Requirements

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.
  • Report writing ability preferred.
  • 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:

  • Advanced knowledge and proficiency in excel including use of complex/nested formulas and pivot tables.
  • Familiarity with Professional Billing (PB); with an understanding of the nuances and differences between Hospital Billing (HB) and PB.
  • Extensive knowledge and experience in completing A/R and Denials analyses and trending
  • Strong organizational skills
  • Ability to effectively time manage and prioritize initiatives.
  • Experience in PB A/R and Denials practices and processes.

Scripps Health is repeatedly named on the Fortune Magazine’s 100 Best Companies to work for, only San Diego-based company and Becker’s Healthcare Top Hospitals. Scripps Health offers a robust Total Rewards Program designed to compensate and motivate you throughout your career. Scripps Health Total Rewards Program includes a broad range of plans and programs including market competitive pay and performance incentives, health and wellness benefits, financial wellness benefits, work-life resources, learning and development opportunities, and rewards and recognition. Unlock your potential with Scripps Health today.

Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability.