Healthcare Denials Resolution Analyst

Job Summary

Working remotely in a full-time capacity, the Healthcare Denials Resolution Analyst will facilitate payment recovery efforts for denied and underpaid accounts, acting as a liaison between clients and payers while managing patient health information with confidentiality.

Key Responsibilities

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

Required Qualifications

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