Denials Analyst

Aspire Rural Health System•Cass City, MI

20h•Onsite

About The Position

Aspire Rural Health System is seeking a Denials Analyst! We are looking for a detail-oriented professional to join our dedicated team of healthcare professionals committed to improving revenue cycle performance, reducing claim denials, and supporting the financial health of our organization.

Requirements

2+ years of revenue cycle or denial management experience.
Strong knowledge of payer requirements, coding, billing regulations, and denial prevention strategies.
Demonstrated experience in data analysis, report creation, and presenting findings to diverse audiences.
Proven ability to lead implementation of process improvements and system changes within Epic.

Nice To Haves

Epic Resolute Professional Billing, Hospital Billing, Claim Edit experience, or certification preferred.
Experience working with dashboards and reporting tools such as Clarity, SlicerDicer, Tableau, Quadax, or Power BI.
Prior experience partnering with clinical service lines on revenue cycle initiatives preferred.

Responsibilities

Analyzing claim denials, identifying root causes, and implementing sustainable solutions within Epic to reduce future denials.
Presenting denial trends and actionable data to service lines, revenue cycle teams, and leadership.
Ensuring corrective workflows and system optimizations are put in place.
Monitoring, tracking, and analyzing payer denials within Epic.
Developing reports, dashboards, and presentations.
Collaborating with service lines to educate stakeholders on denial drivers and corrective actions.
Leading denial prevention initiatives through Epic system enhancements, workflow redesign, and implementation of claim edits and rules.
Partnering with revenue integrity, coding, billing, compliance, and IT teams to support denial resolution and prevention strategies.
Maintaining Epic denial workqueues and automation tools.
Assisting with system testing and optimization efforts.
Providing end-user training.
Monitoring the effectiveness of implemented solutions.
Remaining current on payer requirements, Epic functionality, and industry best practices to continuously improve clean claim rates, reduce rework, and optimize reimbursement.