Denial Analyst - Hospital Billing - Remote

Overview

The Revenue Cycle Denial Analyst is responsible for coordinating the analysis and effective resolution of denied claims to reduce overall denials and increase revenue.

In Short

• Manage and prioritize denied claims with third-party payers.
• Research and understand payer requirements.
• Triage denied claims for potential appeals.
• Write comprehensive appeals to overturn denials.
• Follow up on filed appeals through various channels.
• Maintain and update payer database for issue tracking.
• Analyze root causes of denials and recommend improvements.
• Compile reports on appeal success and analysis.
• Serve as a resource for denials and payer requirements.
• Provide high-level customer service to patients and staff.

Requirements

• High School diploma or GED required; Bachelor's degree preferred.
• 1-3 years of related work experience required.
• Advanced skills in Microsoft applications.
• 3-5 years of healthcare-related experience preferred.
• Strong decision-making and problem-solving skills.
• Excellent written and oral communication skills.
• Ability to work collaboratively in a team environment.
• Customer service-oriented approach.
• Ability to remain calm in stressful situations.
• Knowledge of healthcare concepts and policies.

Benefits

• Comprehensive compensation and benefits.
• Opportunities for continuous learning and growth.
• Support for a healthy and balanced life.
• Inclusive workplace culture.
• Impactful work contributing to patient care.