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M696cl72qc0f6zjk17h

DENIALS ANALYST/ROC/FT/8A-5P

South Texas Health System Edinburg Full-Time
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QUALIFICATIONS:

  1. Excellent customer service skills required

  2. 5 Years of Clinical, Medical Records, or Patient Financial experience required

  3. Advance proficient in Microsoft Office applications and other data mining software

  4. Knowledge of Medical billing, collection practices, CPT, HCPCS and IC10 Coding

  5. Understand Medicare & Medical assistance regulations as needed

  6. Good verbal communication skills in English/Spanish

  7. Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

Job Requirements

EDUCATION / LICENSURE:

  1. Bachelors in Business, Finance, Accounting or related field

  2. Equivalent work experience may substitute degree requirement for example: hospital revenue cycle experience i.e., billing, collections, appeals, verification of benefits, coding, etc.

 

Skills required

Make Recommendation
Conduct Utilization
Conduct Review Activity
Recommend Solution
Recommend Process Improvement
Delivering Recommendations

Location

Career Path

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DENIALS ANALYST/ROC/FT/8A-5P
Estimated Salary: $91K
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Job ID: 84030

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South Texas Health System is a regional multi-hospital system owned and operated by a subsidiary of Universal Health Services, Inc. (UHS). Headquartered in King of Prussia, Pennsylvania, UHS is one of the largest and most innovative healthcare management companies in the nation.

South Texas Health System is recognized for its reputation for excellence in providing quality healthcare to the Rio Grande Valley. As a leading hospital system in the Rio Grande Valley, STHS offers specialized services in behavioral health, cardiovascular care, emergency medicine, neuroscience, oncology, pediatric care, transplant and women's services, as well as adult and pediatric rehabilitation.

South Texas Health System's facilities include Edinburg Children's Hospital, Edinburg Regional Medical Center, Edinburg Regional Rehab Center, McAllen Medical Center, McAllen Heart Hospital and Cornerstone Regional Hospital.

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