Denials Standardization Lead Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Identify the clinical, coding, and process-related root causes of avoidable claim denials.

• Analyze denied claims and formulate concise problem statements that outline objectives, process failures, and the factors leading to denials.

• Collaborate with operational teams to ensure the accuracy of medical terminology, coding, and front-end revenue cycle processes.

• Evaluate and communicate the financial implications of denials.

• Assist in initiatives aimed at decreasing revenue loss and enhancing revenue cycle performance.

• Recognize issues and independently drive corrective actions.

⛳️ Requirements

• At least 2 years of experience in revenue cycle management, particularly in denials and performance management.

• Proficient understanding of medical terminology associated with denied claims.

• Experience working alongside coding teams and stakeholders to analyze the root causes of denials.

• Bachelor's degree; relevant experience may be accepted in place of a degree.

• Strong critical thinking abilities.

• Capability to effectively communicate clinical and operational issues to stakeholders.

• Practical experience in a denials or revenue cycle setting.

🏝️ Benefits

• Annual bonus plan with a target of 5.00%.

• Competitive benefits package.

• Opportunities for continuous learning, collaboration across teams, and exploration of new career paths.

• Chance to contribute, think innovatively, and engage in meaningful work.

• Reasonable accommodation support for applicants with disabilities.