Denial Prevention Analyst

Job Summary

Analyzing denied claims, the full-time Denial Prevention Analyst will work remotely to identify root causes, prepare reports on denial trends, and collaborate with departments to resolve issues while supporting training efforts to improve claims submission practices.

Key Responsibilities:

• Analyze denied claims to identify root causes and opportunities for process improvement
• Review claims for accuracy and compliance prior to submission to minimize denial risk
• Maintain documentation of denial cases and assist in preparing monthly denial reports

Required Qualifications:

• Bachelor's Degree in healthcare administration, business administration, or a related field
• 2+ years of experience in denial management within healthcare revenue cycle
• Ability to navigate rapidly changing situations and embrace new challenges
• Strong knowledge of Back End Revenue Cycle Management processes
• Intermediate proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Outlook)