Revenue Cycle and Denials Analyst
- Req Number: 303008
- Job Type: Full time
- Address: 4600 Wesley Ave
- City, State: Norwood, OH
- Posted Date: 7/11/2025
| Job Overview: Responsible for implementing, designing and providing support for business and administrative analystics within the revenue cycle functional areas with specific focus on denials. Develops dashboards and reports with key performance indicators, metrics, data points, and formulas to support management objectives. Assists revenue cycle leaders in working closely with business leaders, physicians and other department leaders to investigate and design strategic initiatives in order to improve revenue cycle statistics, reporting capabilities and overall performance. Participates in the determination of how processes can be aligned with best practices to achieve optimal results, measurable change, and a quantifiable, positive contribution. Responsibilities to include: Preparing monthly reports for Hospital and Physician Revenue Cycle leadership; Analyzes quanlitative and quantitative data as necessary throughout the course of a project including the development of data collection strategies; Analyzes denials of both Hospital and Physician reibursement and determines root causes and trending by payor and/or service line; Works closely wtih Revenue Cycle Leadership to create and maintain dashboards, KPI metrics, and comparisons to best practice; Prepares ad hoc reporting support for deep-dive analytics for Revenue Cycle Leadership or Business Leaders; Organizes statistical findings; interprets, simplifies and presents information in order to champion initiatives to support data integrity and overall revenue cycle performance and efficiency Job Requirements: Bachelor's Degree Expertise in data extraction and database queries Ability to identify, analyze, synthesize information and recognize trends Excellent communication and problem solving skills 2-3 years experience Technical Healthcare Job Responsibilities: Improvement in Cash as a % of Net Revenue Improvement in Initial and Fatal Denial Rate Decrease in Bad Debt Reduction in Days AR Other Job-Related Information: Working Conditions: Climbing - Rarely Concentrating - Consistently Continous Learning - Frequently Hearing: Conversation - Occasionally Interpersonal Communication - Frequently Kneeling - Rarely Lifting <10 Lbs - Rarely Lifting 50+ Lbs - Rarely Lifting 11-50 Lbs - Rarely Pulling - Rarely Pushing - Rarely Reaching - Rarely Reading - Occasionally Sitting - Frequently Standing - Occasionally Stooping - Rarely Thinking/Reasoning - Consistently Use of Hands - Rarely Color Vision - Frequently Walking - Occasionally TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS… • Welcome everyone by making eye contact, greeting with a smile, and saying "hello" • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist • Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS… • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met • Offer patients and guests priority when waiting (lines, elevators) • Work on improving quality, safety, and service Respect: ALWAYS… • Respect cultural and spiritual differences and honor individual preferences. • Respect everyone’s opinion and contribution, regardless of title/role. • Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS… • Value the time of others by striving to be on time, prepared and actively participating. • Pick up trash, ensuring the physical environment is clean and safe. • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS… • Acknowledge wins and frequently thank team members and others for contributions. • Show courtesy and compassion with customers, team members and the community |
