<p>Job Posting</p> <p>We are dedicated to providing exceptional care to every patient, every time.</p> <p>St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades.</p> <p>Position Summary:</p> <p>The Denial Management Specialist is responsible for analyzing denial trends and developing strategies to prevent future denials. This role focuses on performing root cause analysis to identify patterns and systemic issues leading to claim denials and payments less than expected contractual rate. This position will collaborate with various departments to implement process improvements and ensure compliance with payer and government requirements. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke's mission and values.</p> <p>Education, Experience, & Licensing Requirements:</p> <p>Education: Bachelor's degree required with focus in Healthcare Administration, Business or related field preferred.</p> <p>Experience: Minimum of 5 years' experience in roles related to Revenue Cycle or other relevant work experience. Minimum of 3 years' experience in claims processing and/or denial management experience.</p> <p>Proficiency in healthcare billing systems and denial management software, contract management software, including experience with medical and insurance terminology and billing forms.</p> <p>Licensure: Certified Revenue Cycle Representative (CRCR) or similar certification preferred.</p> <p>Benefits for a Better You:</p> <ul> <li>Day one benefits package </li><li>Pension Plan & 401K </li><li>Competitive compensation </li><li>FSA & HSA options </li><li>PTO programs available </li><li>Education Assistance </li></ul> <p>Why You Belong Here:</p> <p>You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.</p>