Denial Recovery Analyst

Job Summary

A company is looking for a Denial Recovery Analyst responsible for managing technical denial claims and optimizing financial outcomes within the revenue cycle.

Key Responsibilities

• Identify, prioritize, and resolve denied claims, including initiating timely appeals and reconsiderations
• Interpret and apply payer contract terms to ensure accurate claim resolution and reimbursement
• Collaborate with revenue cycle teams to recommend process improvements and prevent future denials

Minimum Qualifications

• High School Diploma or GED required
• Minimum of four (4) years of experience in coding, billing, insurance follow-up, collections, or denial management within a hospital or clinical setting

Preferred Qualifications

• Associate's degree or higher in a health or business-related field
• Experience in coding, medical record review, auditing, or insurance-related functions
• Experience supporting data governance and security policies
• Strong skills in report and dashboard development
• Ability to monitor BI tools and recommend process improvements