Denial Prevention Analyst

Savista • GA

109d • $55,000 - $59,000

About The Position

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Requirements

• Bachelor’s degree in healthcare administration, business administration, finance, or a related field.
• 3+ years of experience in denial management, revenue cycle analysis, or a related healthcare role.
• Strong client-facing skills, with the ability to navigate complex conversations and present findings with professionalism and confidence.
• Excellent communication and presentation abilities, with experience presenting to leadership or external stakeholders.
• Strong analytical and problem-solving skills.
• Proficiency in data analysis tools and software.
• Knowledge of healthcare billing, coding, and reimbursement processes.
• High level of attention to detail and accuracy.
• Ability to work independently and collaboratively within a team.

Nice To Haves

• Certification in healthcare compliance, coding, or revenue cycle management is a plus.

Responsibilities

• Act as the primary point of contact for denial-related questions, serving as the liaison between the client and internal revenue cycle teams to research issues and provide recommendations.
• Participate in multiple monthly calls with the client to review denial trends, present findings, and answer questions.
• Analyze denial patterns to identify root causes and recommend proactive measures to prevent future denials.
• Collect, compile, and analyze data from various sources to generate clear, accurate reports on denial rates, reasons, and impacts.
• Partner with hospital leadership to understand needs, address concerns, and provide tailored solutions to minimize denials.
• Recommend and support process changes to enhance efficiency and reduce the likelihood of denials.
• Provide recommendations and supporting documentation to client staff on best practices for denial prevention and management when appropriate.
• Ensure compliance with all relevant regulations, guidelines, medical policies and standards related to claims and denials.
• Maintain accurate and up-to-date documentation of denial cases, interventions, and outcomes.
• Track and report on key performance indicators (KPIs) related to denial prevention efforts.

Benefits

• Salary range from $55,000.00 to $59,000.00.
• Eligibility to participate in a discretionary annual incentive program.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees