Mass General Brigham
Senior Denial Analyst
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Job Description
- Req#: RQ4046950
Employer Industry: Healthcare
Why consider this job opportunity:
- Salary up to $113,453.60 annually
- Comprehensive benefits package including health insurance and retirement plans
- Opportunity for career advancement and professional growth within a leading healthcare organization
- Flexible remote work option available
- Supportive and collaborative work environment focused on team development
- Recognition programs designed to celebrate contributions and achievements
What to Expect (Job Responsibilities):
- Manage and analyze EPIC Work Queues (WQs) and reporting to ensure high-quality work
- Conduct root cause analysis and trend reporting to identify denial patterns and present actionable insights
- Collaborate with cross-functional teams to address systemic issues contributing to claim denials
- Draft appeals utilizing clinical documentation and payer policy expertise
- Monitor compliance with organizational policies and prepare detailed reports on denial statistics
What is Required (Qualifications):
- Bachelor's Degree in Healthcare Administration, Business, or a related field
- 3-5 years of experience in claims processing, denial management, or quality assurance within a healthcare setting
- 2-3 years of experience in denial management and/or healthcare compliance
- Strong analytical skills to interpret data and identify trends
- Effective communication skills for collaboration with cross-functional teams
How to Stand Out (Preferred Qualifications):
- Experience using healthcare management software and tools for data analysis
- Ability to train and educate staff on denial management processes
- Knowledge of healthcare regulations and compliance standards
- Experience in developing and implementing quality assurance practices
- Familiarity with payer policies and clinical documentation standards
#Healthcare #DenialManagement #CareerOpportunity #RemoteWork #ProfessionalGrowthAbout the company
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