Jr Insurance Benefits Analyst

: Assists with the review, analysis, development, and implementation of Process Improvement changes for the department to improve efficiency and workflow. Description :

• Troubleshoot and evaluate work product of staff, make recommendations to management and assists with implementing changes.

• Participate with management in strategizing for Process Improvement initiatives to improve cash flow.

• Attend and participate in management meetings.

• Assists management on special organizational projects for CCHC.

• Provide input and feedback for employee evaluations.

• Work collaboratively with Patient Access Managers, Scheduling Managers, Business Office Managers, Vendors and Customers across the enterprise to ensure that Registrars and Schedulers are fully capable of using technology to properly register our patients.

• Assists with process redesign efforts geared to improving clearance rate and cash flow recovery.

• Assists with review of scheduling and registration procedures and ensure effective communication with physician practices, patients and internal departments.

• Work with department managers to continuously identify and correct issues identified by reporting.

• Maintain knowledge of payer authorization and eligibility requirements

• Obtain, verify authorizations to ensure payment for services provide through CCHC

• Review, monitor and trend eligibility and authorization denials

• Assist Patient Access Managers with Quality Control assessments of their staff.

• Work with Patient Access Managers on developing educational material for staff on topics identified by trends

• Performs other work-related duties as assigned.

Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital's commitment to CARES: compassion, accountability, respect, excellence and service.

Qualifications :

• Associate Degree strongly preferred.
• Minimum of 1 year experience in a large hospital's Revenue Cycle Department with an emphasis on Patient Access and or Scheduling is strongly desired.
• Experience with large hospital information systems is required, preferably Epic and/or Siemens is preferred.
• Excellent interpersonal, problem solving and critical thinking skills
• Excellent PC skills with a strong emphasis on the Outlook suite of products
• Excellent verbal and written communication skills are required.