Enterprise Denial Analyst

A company is looking for an Enterprise Denial Analyst responsible for reviewing technical denial claims and optimizing financial outcomes in the revenue cycle.

Key Responsibilities

Review technical denial claims and submit reconsiderations or appeals

Conduct root cause analysis of denied payments and maintain third-party payer relationships

Collaborate with management to resolve atypical denial issues and analyze emerging trends in payer practices

Required Qualifications, Training, and Education

High school graduate with four years of experience in coding, billing, insurance follow-up, collections, or denial management in a hospital / clinical setting

Prefer an Associate's degree or higher in a health or business-related field with three years of relevant experience

Demonstrated knowledge of hospital billing, denials, appeals, and third-party contracts

Familiarity with federal and state regulations governing the healthcare industry

Proficiency in Microsoft Office products such as Outlook, Word, and Excel