Financial Analyst - Denials Research

locationsNew Orleans - New Orleans Region - Louisianatime typeFull timeposted onPosted Todayjob requisition idREQ_00236590

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

We are seeking a Financial Analyst specializing in denials analytics to identify root causes of insurance denials and uncover actionable trends. This role partners closely with Revenue Cycle and Operations teams to develop and implement preventative strategies, while also delivering education to reduce future denials. The analyst will present insights to key stakeholders and maintain reporting tools to monitor progress and detect emerging issues. Ideal candidates will have strong analytical skills, a collaborative mindset, and a passion for process improvement.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

Required - Bachelor's degree in Accounting, Finance, Math, Business Administration, or Computer Science or related area

Preferred - Master's degree in Business Administration (MBA) or other advanced degree in Accounting, Finance, or related field

Work Experience

Preferred - Experience in financial analysis, forecasting and reporting

Preferred- Experience in the healthcare industry

Certifications

Preferred - Certified Public Accountant (CPA) or actively testing for certification

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of information. Must be proficient with Windows-style applications, various office software packages and keyboard.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Strong analytical and problem solving skills
• Excellent organizational and time management skills
• Good judgment and decision-making skills

Job Duties

• Research and trend insurance denials to find root cause
• Collaborate with Revenue Cycle and Operations to identify preventions solutions and provide education
• Present findings to key stakeholders
• Produce and monitor reporting to ensure denials are mitigated and new trends are found
• Updates and maintains financial information.
• Provides reporting and analytics to ensure operational profitability.
• Identifies opportunities for revenue enhancement.
• Participates in formation of budget.
• Participates in quality assurance activities.
• Participates in activities for professional development.
• Participates in special projects involving financial analysis.

Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Mechanical lifting devices (carts, dollies, etc.) or team lifts should be utilized. Must be able to stoop, bend, reach and grab with arms and hands, manual dexterity. Must be able to sit for prolonged periods of time. Must be able to travel throughout and between facilities. Must be able to work a flexible work schedule (e.g., more than eight hours a day). Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. There is no occupational risk for exposure to communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Individuals who reside in and will work from the following areas are not eligible for remote work position : Colorado, California, Hawaii, Illinois, Maryland, Minnesota, New Jersey, New York, Washington, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.