Insurance Denials Analyst

Job Summary

Analyzing payer denials and payment variances, the full-time remote Insurance Denials Analyst will ensure accurate reimbursement and compliance by identifying root causes of denials, preparing appeals, and collaborating with stakeholders to resolve discrepancies.

Key responsibilities

• Analyze payer denials and payment variances to identify root causes and resolve discrepancies
• Prepare, submit, and track appeals to ensure timely reimbursement recovery
• Monitor denial trends and develop reports to support performance tracking and improvement efforts

Required qualifications

• High school diploma or equivalent required; one year of college coursework in accounting, coding, insurance, or related field preferred
• Knowledge of third-party payer guidelines, including Medicare and Medicaid billing requirements
• Experience with billing and accounts receivable management, including various coding methodologies
• Understanding of regulatory compliance requirements related to reimbursement
• Ability to analyze problems and implement effective work strategies and process efficiencies