Healthcare Denials Resolution Analyst

Job Summary

A company is looking for a Resolution Analyst, Denials.

Key Responsibilities

• Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned claims
• Determine correct reimbursement using payment documentation and medical provider contract information
• Research and acquire medical records and documentation for complex underpayment appeals

Requirements and Qualifications

• High School Diploma or GED required; Associates or Bachelor's Degree preferred
• 5+ years' experience in healthcare billing or collections
• 1+ years' client-facing/customer service experience
• Intermediate understanding of insurance payer/provider claims processing and medical terminology
• Strong understanding of the revenue cycle process and hospital reimbursement