WRHP - Denials Management Analyst

Western Reserve

5h

About The Position

The Denials Management Analyst reviews, analyzes, and documents all outpatient denials received by payors. This role involves following up with insurance companies, physicians, and various hospital departments (such as medical records, financial counseling, healthcare review, and managed care) to ensure the recovery of denied revenue. The analyst is also responsible for conducting statistical analysis for all denials and assisting with the creation of "payor report card" data for contract negotiations.

Requirements

• Associate’s degree in business, accounting or closely related field or equivalent PAS/IT&S work experience
• Additional experience may be substituted on a year to year basic for the education requirement
• Five (5) or more years experience in healthcare patient accounting or health insurance industry
• Knowledge of basic accounting procedures, computers and other equipment used in the PFS area
• Diverse knowledge and experience in utilizing standardized PC software

Responsibilities

• Reviews, analyzes and documents all outpatient denials received by payors
• Follows up with insurance companies, physicians, various hospital departments (i.e. medical records, financial counseling, healthcare review, managed care, etc.) to assure the recovery of denied revenue
• Conducts statistical analysis for all denials
• Assists with the creation of “payor report card” data to be used for contract negotiations

What This Job Offers

• Career Level: Senior
• Education Level: Associate degree