Denials Standardization Analyst

Job Summary

Working remotely in a full-time capacity, the Denials Standardization Lead Analyst will analyze denied claims to identify root causes affecting reimbursement, collaborate with operational teams, and communicate financial impacts to drive initiatives aimed at reducing revenue loss.

Key responsibilities

• Analyze denied claims to develop clear problem statements and identify failure points in processes
• Collaborate with coding and revenue cycle teams to validate medical terminology and coding accuracy
• Assess and communicate the financial impact of denials to support corrective action initiatives

Required qualifications

• Minimum 2 years of experience in revenue cycle management with a focus on denials and performance management
• Working knowledge of medical terminology related to denied claims
• Experience collaborating with coding teams to analyze denial root causes
• Advanced Excel skills, including pivot tables and data visualizations
• Complex denial experience with recent revenue cycle front-end denial understanding