Temporary RCM Claims Analyst

Job no: 506192
Position type: Temporary
Location: Fort Lauderdale-Davie, Florida
Division/Equivalent: NSU HEALTH
School/Unit: NSU HEALTH CLINIC ADMIN
Department/Office: Clinical Collection Service
Categories: Healthcare - Clinic Administration, Medical Professionals & Technicians

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About Us:

We are excited that you are considering joining Nova Southeastern University!


Nova Southeastern University (NSU) was founded in 1964, and is a not-for-profit, independent university with a reputation for academic excellence and innovation. Nova Southeastern University offers competitive salaries, a comprehensive benefits package including tuition waiver, retirement plan, excellent medical and dental plans and much more. NSU cares about the health and welfare of its students, faculty, staff, and campus visitors and is a tobacco-free university.

We appreciate your support in making NSU the preeminent place to live, work, study and grow. Thank you for your interest in a career with Nova Southeastern University.

NSU considers applicants for all positions without regard to race, color, religion, creed, age, sex, sexual orientation, gender identity or expression, genetic information, disability, political affiliation or belief, national origin, marital or veteran status or any other legally protected status.
Job Title: Temporary RCM Claims Analyst
Location: Fort Lauderdale-Davie, Florida
Work Type: Temporary
Job Category: Non-Exempt
Hiring Range:  
Pay Basis:

Hourly
Subject to Grant Funding?: No  
Essential Job Functions: 1. Identify and investigate claim denials and rejections. Develop and implement strategies to resolve issues and reduce the rate of denials. Prepare and submit appeals as necessary.
2. Analyze trends and patterns in claims data to identify potential issues or areas for improvement. Generate reports to support decision-making and optimize the revenue cycle process.
3. Work closely with billing, coding, and patient financial services teams to address and resolve claims-related issues. Facilitate communication between healthcare providers and payers.
4. Ensure compliance with healthcare regulations, payer policies, and company procedures. Stay updated on changes in regulations and payer requirements.
5. Maintain accurate records of claims processing, including detailed notes on issues, resolutions, and follow-ups. Prepare and submit reports as required.
6. Maintain detailed records of collection activities, payment arrangements, and correspondence in accordance with company policies and procedures.
7. Monitor and manage assigned accounts, ensuring that all payments and adjustments are accurately recorded and applied.
8. Follow up on outstanding patient accounts and insurance claims through phone calls, emails, and written correspondence.
9. Other duties as assigned.
Marginal Job Functions: 1. Maintain work area in a neat and orderly fashion.
2. Assist supervisors, faculty and students in special projects as required.
3. Attend meetings/additional trainings as necessary
Required Knowledge, Skills, & Abilities: Knowledge:
1. Proficient knowledge of MS Office Suite (Outlook, Word and Excel).
2. English Language - General knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
3. Customer and Personal Service - General knowledge of principles and processes for providing customer and personal services. This includes needs assessment, meeting quality standards for services, and evaluation of user satisfaction.

Skills:
1. Active Listening - Proficient skills in giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
2. Speaking - Advanced skills in talking to others to convey information effectively.
3. Critical Thinking - Proficient skills in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
4. Reading Comprehension - Advanced understanding of written sentences and paragraphs in work-related documents.
5. Judgment and Decision Making - Proficient skills in considering the relative costs and benefits of potential actions to choose the appropriate one.
6. Writing - Advanced skills in communicating effectively in writing as appropriate for the needs of the audience.
7. Complex Problem Solving - Proficient skills in identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
8. Service Orientation - Proficient skills in actively looking for ways to help people.
9. Communication - Excellent verbal and written communication skills, with the ability to create engaging content.



Abilities:
1. Problem Sensitivity - The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
2. Deductive Reasoning - The ability to apply general rules to specific problems to produce answers that make sense.
3. Inductive Reasoning - The ability to combine pieces of information to form general rules or conclusions (including finding a relationship among seemingly unrelated events).
4. Collaboration - Ability to work effectively with colleagues and supervisors.
5. Ability to enter and verify information with accuracy.
6. Ability to maintain confidential information.



Physical Requirements and Working Environment:
1. Speech Recognition - Must be able to identify and understand the speech of another person.
2. Speech Clarity - Must be able to speak clearly so others can understand you.
3. Near Vision - Must be able to see details at close range (within a few feet of the observer).
4. Travel - Must be able to travel on a daily and/or overnight basis.
5. May be required to work nights or weekends.
6. May be exposed to short, intermittent, and/or prolonged periods of sitting and/or standing in performance of job duties.
7. May be required to accomplish job duties using various types of equipment/supplies, to include but not limited to pens, pencils, and computer keyboards.
Job Requirements:  
Required Certifications/Licensures:  
Required Education: High School Diploma or Equivalent
Major (if required):  
Required Experience: High School Diploma and three (3) years of medical accounts receivable, medical billing, or a related role.
--OR--
Associate’s degree and two (2) year in healthcare claims processing, revenue cycle management, or a related role.
Preferred Qualifications: 1. Strong data analysis capabilities and the ability to identify and interpret trends and patterns in claims data.
2. Knowledge of payer policies and regulations, including Medicare, Medicaid, and private insurance guidelines.
3. Proficiency in claims management software and electronic health records (EHR) systems, such as Epic, NextGen, or similar.
Is this a safety sensitive position? No  
Background Screening Required? Yes  
Pre-Employment Conditions:

 
Sensitivity Disclaimer: Nova Southeastern University is in full compliance with the Americans with Disabilities Act (ADA) and does not discriminate with regard to applicants or employees with disabilities, and will make reasonable accommodation when necessary.
   
   

Advertised: Eastern Daylight Time
Application close: Eastern Daylight Time

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