Clinical Appeals and Denial Analyst

Infirmary Health • Mobile, AL

14h

About The Position

Ensures timely and effective responses to clinical denials and audit findings, supporting the appeals process by providing analytical insight, maintaining documentation standards, and facilitating communication between internal stakeholders and external payors. The role helps ensure compliance, reduce revenue loss, and improve outcomes related to governmental and commercial audits.

Requirements

• Bachelor’s degree in business administration OR Bachelor’s degree in healthcare administration OR 4 of the most recent 6 years’ experience working in healthcare insurance or billing
• Basic knowledge of the revenue cycle (e.g. billing, reimbursement)
• Strong oral and written communication skills
• Excellent organizational skills and attention to detail
• Ability to manage multiple tasks simultaneously
• Proficiency in personal computer use, including word processing, spreadsheets, data entry, email, scanning, and Adobe applications

Nice To Haves

• Working knowledge of Midas report writing software

Responsibilities

• Ensures timely and effective responses to clinical denials and audit findings
• Supports the appeals process by providing analytical insight
• Maintains documentation standards
• Facilitates communication between internal stakeholders and external payors
• Helps ensure compliance, reduce revenue loss, and improve outcomes related to governmental and commercial audits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level