What are the responsibilities and job description for the Management Analyst III position at Natividad Medical Center?
Position Description
PRIORITY SCREENING DATE: Sunday, March 30, 2025 at 11:59 p.m. for a guaranteed review. Application materials received after this date will be reviewed in an ongoing basis until position is filled. Please allow up to (2) two weeks for processing of application materials. (Postmarks and faxes not accepted.) The eligible list established by this recruitment maybe used to fill current and future position as they arise.
Exam #25/14C31/03SS
POSITION DESCRIPTION
Natividad is currently seeking to fill a full time permanent Management Analyst III in our Finance Department. This position provides administrative and operational support to the Revenue Cycle Team. This position is responsible for tasks related to denials management and patient account management. The analyst ensures timely and accurate data entry, supports communication with insurance providers and revenue cycle team, and helps maintain compliance with regulations and policies.
Examples of Duties
THE SIGNIFICANT DUTIES OF THE POSITION ARE AS FOLLOWS:
- Assist in the preparation and submission of appeals. Mail appeal correspondence, confirm receipt/portal check.
- Process and track claim denials, including coordinating with clinical staff for additional documentation; Monitor accounts and track outstanding appeals for payment.
- Track final determination and communicate to Appeals Specialist (RN); Obtain copies of NOA (Notices of Action), and relevant decision letters; Conduct timely follow-up on pending appeals and denials to ensure resolution.
- Verify and update insurance information in the system; Monitor account aging and identify accounts requiring immediate attention.
- Update patient accounts with appeal outcomes and payment adjustments; Process claim resubmissions and corrections as needed.
- Respond to inquiries regarding appeal status from internal and external stakeholders.
- Collaborate with other departments to resolve account discrepancies; Coordinate with clinical staff to obtain necessary documentation for appeals.
- Maintain regular communication with payers regarding claim status.
- Assist in generating reports for management regarding denials and appeals metrics.
- Track and analyze denial patterns to identify improvement opportunities; Maintain accurate up-to-date denial and appeal records.
- Prepare monthly summaries of appeal outcomes and success rates; Monitor key performance indicators related to denials management.
- Ensure compliance with HIPAA and other relevant regulations; Follow established policies and procedures for handling protected health information.
- Maintain current knowledge of payer policies and requirements; Participate in regular training and education sessions.
- Assist in implementing process improvements for denial prevention.
Examples of Experience/Education/Training
MINIMUM QUALIFICATIONS
Thorough knowledge of:
- Principles and practices of management and financial accounting.
- Principles of mathematical and statistical analysis, preparation and presentation.
- Research techniques.
- Principles and practices of public and/or business administration.
- Report writing.
- Internal and external operations, functions and resources related to the assignment.
- Develop and provides analytical and financial services.
- Analyze and interpret a wide variety of complex data and information.
- Conduct comprehensive and in-depth research.
- Identify issues, options and projected outcomes and make recommendations.
- Prepare and present written and oral reports.
- Interpret and apply codes, regulations, laws policies, procedures and guidelines
- Coordinate a wide variety of activities.
- Work independently and in a timely fashion
- Communicate effectively orally and in writing
- Provide direction to others on projects and activities
- Work cooperatively and tactfully with others
EXAMPLES OF EXPERIENCE/EDUCATION/TRAINING
The knowledge, skills and abilities listed above may be acquired through various types of experience, education or training, typically:
Experience: Two years of experience performing administrative analytical duties which have provided some knowledge of the designated program or functions.
Desirable Experience - Five years of experience performing accounting analytical duties including understanding principles and practices of hospital and healthcare budgeting and financial management.
Highly Desirable Experience - Understands laws, rules and regulations GAAP or GASB, OSHPD, cost report, State and Federal government program reporting.
Education: Bachelor’s degree in business administration, public administration, social services, political science, education or a related field.
Additional Information
CONDITIONS OF EMPLOYMENT
- Natividad requires that all incumbents pass a pre-employment physical/medical assessment.
- Natividad will conduct a thorough background and reference check process which includes a Department of Justice fingerprint check.
- Employees who drive on County business to carry out job related duties must possess a valid CA Driver License for the class vehicle driven.
- Employees must have and show their original Social Security Card and a valid CA Driver License or CA State ID prior to the first day of work.
- Incumbents may be required to work all shifts, including weekends and holidays
**REQUIRED APPLICATION MATERIALS AND SCREENING PROCESS**
APPLICATION SUBMISSION: A completed Monterey County Application may be obtained from and submitted to the Natividad Human Resources Office, 1441 Constitution Blvd., Bldg. 300, Salinas, CA. 93906, or On-line applications may be submitted at www.natividad.com; resume and license and/or certifications (if applicable) may be attached to your online application or emailed separately to: GarciaDL@Natividad.com. Resumes will be accepted in addition to, but not in lieu of the required application materials. For more information or to obtain regular paper application materials please contact the Natividad HR, 1441 Constitution Blvd.,(831) 783-2700, M - F, 7:30 a.m.- 5:00p.m.
QUALIFICATIONS ASSESSMENT: ill be competitively evaluated. Please note: The initial screening for this position uses ONLY the applicant's answers to the Supplemental Questions. Screeners (who are Subject Matter Experts) are not given the application and/or resumes at this point in the process. Therefore, your answers to the Supplemental Questions are critical. The best-qualified applicants will be invited to participate further in the process.
ELIGIBLE LIST: Applicants successful in the Qualifications Assessment process will be placed on an eligible list for possible final selection interview. This eligible list will be used to fill current and future vacancies.
SPECIAL NOTES
- If you believe you possess a disability that would require test accommodation, please contact the Personnel Analyst for Natividad at (831) 783-2711.
- Employment is contingent upon acceptable documentation verifying identity and authorization for employment in the United States.
- If you are hired into this classification in a temporary position, your salary will be hourly and you will not be eligible for the benefits listed above.
