REVENUE CYCLE ANALYST in San Diego, CA at Scripps Corporate Offices

Date Posted: 5/25/2018

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.
This is an outstanding opportunity for an Analyst with EPIC experience and knowledge in Alternate Payor Logic! The work site for this position is at our Beautiful Rancho Bernardo Business Services office.
Our Analyst will focus 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.
Full-Time 8 hour DAY shift position, Monday-Friday

Job Requirements

Required Qualifications:
•         Minimum 3 years of experience healthcare/medical office environment
•         Proficient with Microsoft Office applications
•         Possess excellent mathematical skills and ability to handle monies
•         Excellent communication and customer service
•         Strong organizational and analytical skills; innovative with ability to identify and solve    problems
•         Knowledge of payer contracts, medical terminology, commercial and government health   insurance and billing guidelines
•         Knowledge of ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers
Preferred Qualifications:
•         Experience with admitting/registration practices and processes
•         EPIC experience
•         Knowledge in Alternate Payor Logic
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 (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.
Keywords: Payor Logic, EPIC, Payor contracts, Revenue Cycle Analyst