Denials Analyst II

Job Summary

A company is looking for a Denials & AR Analyst II.

Key Responsibilities:

• Investigate and analyze claims to identify denial reasons and create appeal letters to resolve issues
• Calculate expected claim reimbursement and notate accounts with updates from payers
• Contact payers to follow up on claim statuses and payments

Required Qualifications:

• Prior Denials or AR experience with hospital, inpatient denied claims
• Experience in writing appeal letters to insurance companies
• Experience working in a production-based environment
• Familiarity with healthcare system and claim reimbursement processes
• Ability to work in a metrics-driven environment