Non- Clinical Denials Analyst

JOB PURPOSE

Responsible for the identification, analysis and resolution of non-clinically based underpayments and denials, and initiating appeals between Cottage Health and outside payers.

The analyst will work with revenue cycle and clinical departments within Cottage Health, and third party payors' provider representatives to identify the source of denials and develop processes to eliminate and/or minimize denials/underpayments and rejections to improve cash flow.

The non-clinical denials analyst works denied and underpaid accounts to obtain full reimbursement for services provided and identify denial and underpayment root causes.

QUALIFICATIONS

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

LEVEL OF EDUCATION

Minimum: N/A

Preferred: Associate's degree

CERTIFICATIONS, LICENSES, REGISTRATIONS

Minimum: N/A Preferred: Epic Certified or trained if on Professional Billing team.

TECHNICAL REQUIREMENTS

Minimum: Basic user of MS Outlook, Word and Excel.

Ability to navigate payor websites and CMS manuals.

Preferred: Experience with Epic Reporting and analysis if on Professional Billing team.

YEARS OF RELATED WORK EXPERIENCE

Minimum: 2 years of professional billing/collections revenue cycle experience (professional billing experience required if on Professional Billing team), with at least one of those years working with denials and appeals.

Preferred: 3 years working with denials and appeals, in an acute care setting.

1 year supervisory experience
Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education.

Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system.

Our mission is to serve the central coast communities with excellence, integrity, and compassion.

Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first.

We take pride in helping our patients get back to living their lives - in the places they love.

Cottage Health is an Equal Opportunity Employer.

Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law.

This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee.

Cottage Health is committed to upholding discrimination-free hiring practices.

We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work.

Any Cottage Health applicants who require assistance or reasonabl...