Job Summary
A non-profit healthcare organization is in need of a Remote Denials Management Analyst.
Individual must be able to fulfill the following responsibilities:
- Coordinate payor denial and audit activities to ensure timely response for the processing of all payor denials, audit request and appeals
- Communicate and coordinate with various individuals/distributions and assist with monitoring of the day to day activities
- Maintain the healthcare tracking tool/application that stores/communicates all denial and review activity
Position Requirements Include:
- 5 or more years’ experience in a healthcare revenue cycle environment
- 3 or more years’ experience working with third party collection / A/R receivables
- Advanced proficiency in using Microsoft Excel, including experience creating and using pivot tables
- Bachelor’s degree, or equivalent combination of education and experience
- Knowledge of healthcare revenue cycle management
- Knowledge of EDI transaction sets including 837I, 837P
