Denials Rules Associate - Remote

Overview

The Denials Rules Associate will enhance the accuracy and impact of Denials Rules across service lines, collaborating with internal teams to drive efficiency and workflow automation.

In Short

• Work with internal stakeholders to improve workflow decisions.
• Create mappings based on payer and CPT codes.
• Review data sets for inconsistencies and errors.
• Collaborate with teams to optimize workflows.
• Develop skills in troubleshooting code and debugging.
• Use Spark SQL and Python for process automation.
• Perform analysis on various data sources.
• Assist database administrators with SQL Server maintenance.
• Create reports using PowerBI.
• Drive change management and process improvements.

Requirements

• Strong analytical skills and attention to detail.
• Intermediate+ level experience with SQL programming.
• Experience with ETL processes in SQL environments.
• Familiarity with healthcare coding and billing.
• Proficiency in Microsoft Office, especially Excel.
• Ability to manage multiple projects effectively.
• Team-oriented and collaborative working style.
• Self-starter with a focus on operational efficiency.
• Understanding of AI and Large Language Models for business use cases.
• Experience with Databricks and Snowflake is a plus.

Benefits

• Competitive salary and annual bonus plan.
• Opportunities for career growth and learning.
• Collaborative work environment.
• Community involvement initiatives.
• Comprehensive benefits package.