JOB SUMMARY:

The AR Data Analyst is responsible for analyzing and maintaining billing integrity and overseeing accounts receivable for the entire Medical Practice Foundation. This includes auditing the billing data for accuracy, trending and tracking A/R and denials, identifying root cause. The AR Analyst responsibilities also include project analysis and management to resolve identified concerns along with daily operational issues associated with AR and denials. The Analyst supports the overall MPF business by providing deliverables as a leader to the team's performance and outcomes relative to department needs and goals. Should be well versed with state and federal regulatory agencies and have extensive knowledge of payor guidelines to maintain up-to-date information on changing policies impacting revenue cycle and to aid in preventing denials. The AR Analyst works with various levels of end-users and leadership as a subject matter expert to ensure billing accuracy, denial solution rectification and prevention as well as proper follow up steps are being followed to decrease accounts receivable and increase reimbursement. The Analyst responsibilities also include facilitating monthly payor meetings for the department to address and rectify billing issues. Identifies and helps implement process efficiencies across departments including automation and workflow enhancement opportunities to reduce errors, denials, and improve productivity.

MINIMUM QUALIFICATIONS:

HS Diploma, GED, or Equivalent

5 years of experience

In-depth knowledge of insurance plans

Ability to think analytically

Medical billing experience

PREFERRED QUALIFICATIONS:

Certification in Epic PB AR Follow-up

The expected hiring range for this position is $25.47 to $35.03

Rady Children’s Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.