Denials Management Analyst-269

Colquitt Regional Medical Center • Moultrie, GA

4h

About The Position

Handles the end-to-end denial and appeal process, including the receiving, analyzing, recording, tracking, managing, and/or resolving appeals with third-party payers in a timely manner. Carries out appropriate research and analysis to help with the appeals process and stay informed with best practices and policy changes. Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials. Assists with cart audits as necessary. Understands all ancillary department-charging functions. Understands medical records, hospital bills and billing, and chargemaster. Assists colleagues and participates in constructive interactions. Maintains professional and prompt communication with both internal and external clients.

Requirements

• Understanding of medical records, hospital bills and billing, and chargemaster.
• Ability to assist colleagues and participate in constructive interactions.
• Professional and prompt communication skills with internal and external clients.

Responsibilities

• Handles the end-to-end denial and appeal process, including receiving, analyzing, recording, tracking, managing, and resolving appeals with third-party payers.
• Conducts research and analysis to support the appeals process and stay updated on best practices and policy changes.
• Identifies, analyzes, and researches frequent root causes of denials.
• Develops corrective action plans for denial resolution.
• Assists with cart audits as necessary.
• Understands all ancillary department-charging functions.
• Understands medical records, hospital bills and billing, and chargemaster.
• Assists colleagues and participates in constructive interactions.
• Maintains professional and prompt communication with internal and external clients.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed