Denials Resolution Analyst

Job Summary

Working remotely in a full-time capacity, the Denials Resolution Analyst will act as a liaison for clients, facilitating payment recovery efforts for denied and underpaid accounts while maintaining confidentiality of patient health information.

Key Responsibilities

• Review, evaluate, and appeal outstanding claims using proprietary software and tools
• Determine correct reimbursements by analyzing payment documentation and hospital contracts
• Conduct follow-up with payers to ensure timely resolution of outstanding receivables

Required Qualifications

• High School Diploma or GED required; Associate's or Bachelor's Degree preferred
• 5+ years of experience in the healthcare field, specifically in billing or collections
• 1+ years of client-facing or customer service experience
• Intermediate understanding of insurance claims processing and medical terminology
• Strong computer proficiency, particularly with MS Office applications