What are the responsibilities and job description for the Prior Authorization/Denials Analyst position at Adirondack Health?
Position Summary:
Under the direct supervision of the Project Manager Revenue Cycle and Appeals, the Prior Authorization/ Revenue Cycle Analyst is responsible for assisting with prior authorizations when needed to include contacting health insurance providers to verify eligibility, and benefits for supporting prior authorization processes, and revenue cycle operations through coverage, workflow, denials, appeals and financial analysis. Will work with management to provide reporting, support and analysis for the Revenue Cycle team. With input and guidance from management, provide support in creating, monitoring, and implementing tools linking strategies to measure financial performance, with full understanding of the procedural systems with our related departments (registration, charge capture, coding, billing, and accounts receivable). Will communicate and interact in a professional and collegial manner that supports positive work communications.
Educational Requirements/ Qualifications:
Required Education: Associate degree
Preferred Education: Bachelors degree in business/healthcare or related field preferred.
Required Minimum Experience: 4 years related experience, to include knowledge of healthcare finance revenue cycle functions, information systems and CMS/state reimbursement regulations. Working knowledge of excel; demonstrated strong analytical skills; strong people skills, and highly detail oriented. Must possess excellent written and oral communication skills.
Job Type:
Full-Time
Benefits of Working Full-Time at Adirondack Health:
- Medical, Dental and Vision Insurance
- Paid Benefit Time (PTO and Sick days)
- Tuition Reimbursement
- 403(b) Retirement Plan with Employer Contributions
- And much more
Salary Range:
$25.77 - 38.65 per hour
Salary : $26 - $39
