• Job Description

  Req#: 7224
  Position Summary:
  
  The Denial Analyst (DA) is responsible for the daily review and resolution of technical denials that are assigned to the analyst for resolution. The analyst monitors, researches and appeals all denials assigned providing the necessary information to the payer according to the prescribed process established by the payer. Provide information back to the denial manager for assessment prevention of future occurrence that caused the denial.
  
  The DA monitors, research and/or resolves high dollar, high profile, and problem accounts, providing necessary information to various internal revenue cycle departments, clinical and corporate departments, and patients for resolution of account inquiries. The DA monitors, reviews, and provides analysis of all assigned work queues, dashboards and watch lists, payer communications and analysis, identifying trends and working with other departments to resolve system issues. Additionally, the DA evaluates payer performance and payment trends to provide management with valuable statistics to facilitate improved payer relations and contracting criteria, identifies payer specific problem trends and works with clinical departments, outcomes management, managed care, reimbursement and PFS to rectify systematic issues. The DA recommends and assists in the development of regular training sessions with team members, to ensure highest quality and productivity standards are achievable. Assists in on boarding of new team members as well as providing ongoing support for all FS team members. The DA assists with identifying payer specific trends and works with revenue cycle, clinical and corporate departments, managed care, and reimbursement teams on resolution.
  
  Qualifications
  
  Education:
  
  • High School Diploma required.
  • Associated Degree in Healthcare or closely related field preferred.
  
  Experience:
  
  • Minimum 2 years' experience in healthcare revenue cycle required.
  • Minimum 1 years' experience with Cerner Millennium preferred.
  
  Licensure/Certification/Registration:
  
  • Certificate of Medical Coding completion from a Medical Coding program preferred.
  
  Special Skills:
  
  • Ability to work effectively and collaboratively with imaging colleagues, other supervisors, physicians, and department heads required.
  • Exemplary core customer service skills strongly required.
  • Strong organizational skills required.
  • Strong PC skills required.
  • Strong verbal communication skills required.

• About the company

  The best remote jobs for you

Notice