Denials Standardization Lead Analyst

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

📋 Description

• Assist in minimizing preventable claim denials by pinpointing clinical, coding, and process-related root causes.

• Examine denied claims to formulate and articulate clear problem statements.

• Collaborate closely with operational teams to confirm the accuracy of medical terminology, coding, and processes that contribute to denials.

• Evaluate and communicate the financial implications of denials.

⛳️ Requirements

• A minimum of 2 years of experience in revenue cycle management, emphasizing denials and performance management.

• Proficient knowledge of medical terminology associated with denied claims.

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

• Advanced Excel skills are required, including pivot tables, data analysis, and data visualization.

• Experience with complex denials.

• Recent experience in Revenue Cycle Front End Denials, with a comprehensive understanding of all front-end revenue cycle processes.

• Proven ability to identify root causes and present findings and solutions to management.

• Capability to document charting assessments effectively.

🏝️ Benefits

• Competitive benefits package.