Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Sonal Manglani at email address sonal.manglani@generistek.com can be reached on # 630-576-1921.
We have Contract role for Denials Analyst f or our client at Rancho Mirage, CA. Please let me know if you or any of your friends would be interested in this position.
Position Detail
Denials Analyst- Rancho Mirage, CA
Location : 39000 Bob Hope Dr, Rancho Mirage, CA 92270
Project Duration : 3-6 Months (Contract)
Pay rate : $19-$22/hr.
Job Objective: A brief overview of the position.
Reports to: Manager, Denials Analytics
Supervises: None
Ages of Patients: N/A
Blood Borne Pathogens: Minimal/ No Potential
Qualifications
Education
Licensure/Certification
Experience
Specific Skills, Knowledge, Abilities Required
Hospital-Wide Supporting Commitments:
Growth:
Clinical Excellence:
Ensure that measured outcomes meet/exceed agreed upon expectations. Evidence based clinical practice policies, procedures, and other standards are practiced 100% of the time. Tests, treatments and procedures are thoroughly explained to patients and are understood. Patients, visitors and donors are always safe from harm and prefer Eisenhower because of its high quality.
Courtesy/Caring:
Staff always practice good manners, are friendly, polite and emotionally sensitive to each individual whether patient, family, visitor or fellow employee.
Partnership:
Medical Staff, volunteers and employees are committed and highly engaged. Leadership and the staff are constantly striving for professional growth and applying that new knowledge to innovate and continuously improve direct patient care and other supporting systems and procedures.
Healing Environment:
A supportive setting is developed and maintained that embraces the physical, emotional, and spiritual aspects of health and healing.
Efficiency:
Services are provided efficiently and effectively with a minimum of waste .
Essential Responsibilities
1.Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations
2.Analyze denied, underpaid and unpaid claims. Appeal underpaid and denied claims within timely filing periods
3.Identify, track and report on denial trends
4.Maintain an appeals data base to identify and report outcomes and opportunities
5.Identify any billing and/or coding trends resulting in denials and report to the Coding manager
6.Identify any other trends resulting in denials and report to Manager.
7.Attend all available coding and appeals related seminars as available
8.All other duties as assigned
Continuing Education/Training/In-services:
Overall Evaluation:
To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Sonal Manglani at email address sonal.manglani@generistek.com can be reached on # 630-576-1921.
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