University Physicians

#upjobs

Denials review and analysis: Utilize a combination of payer policies/contract guidelines, knowledge in CPT coding and analysis of medical records in order to formulate reconsiderations/appeals to payers leading to positive outcome for revenue recovery.

Identify and communicate trending denials/reimbursement issues to Leadership and Managed Care Department for further escalation with payers in order to recover revenue in a timely manner.

Perform root cause analysis of denials utilizing multiple systems in order to identify broken internal revenue cycle processes and future solutions in order to maximize revenue for billed services.

Identify and communicate trending internal billing issues due to payer contract/reimbursement guidelines to Leadership in order to establish correct billing in compliance with payer.

Special projects as assigned (ex: trending denial root cause analysis, pre-billing tasks as needed, aging AR analysis, etc.)

Position is eligible for the University Physicians work from home program.

Days

A bachelor’s degree in Accounting, Business Administration, Finance, Health Related Professions, Nursing or an equivalent combination of education and experience from which comparable knowledge and abilities can be obtained is required.
Minimum of three years experience in business acumen, insurance or managed care industry, hospital patient accounts or a related health-care area such as utilization management, case management or hospital audit and reimbursement is required.

CPC certification
Experience in health related contractual analysis involving rate and language analysis, audit and reimbursement, claims denial and appeals experience is preferred.
Knowledge of or willingness to learn fundamentals of coding CPT/HCPCS, ICD-9 and/or ICD-10, DRG’s and APC’s is preferred.

Salary Range:$22.00-$34.74 hourly
Grade: PAT-007
University Title: REVENUE RECOVERY SPECIALIST
Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

In addition to the Online Application, please provide a Cover Letter and Resume.

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/totalrewards/benefits.

Values Commitment

We value the uniqueness of every individual and strive to ensure each person’s success. Contributions from individuals with diverse backgrounds, experiences and perspectives promote intellectual pluralism and enable us to achieve the excellence that we seek in learning, research and engagement. This commitment makes our university a better place to work, learn and innovate.

In your application materials, please discuss your experiences and expertise that support these values and enrich our missions of teaching, research, and engagement.

Equal Employment Opportunity

The University of Missouri System is an Equal Opportunity Employer. Equal Opportunity is and shall be provided for all employees and applicants for employment on the basis of their demonstrated ability and competence without unlawful discrimination on the basis of their race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, or protected veteran status, or any other status protected by applicable state or federal law. This policy applies to all employment decisions including, but not limited to, recruiting, hiring, training, promotions, pay practices, benefits, disciplinary actions and terminations. For more information, visit https://www.umsystem.edu/ums/hr/eeo or call the Director of Employee and Labor Relations at 573-882-7976.

To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.