Denial Analyst
Rancho Mirage, CA · On-site
Denial Analyst Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Duration: 03+ months with possible extension Facility: Eisenhower Medical Center Job type: Onsite Shift timing: 8:30 AM - 5:00 PM ...
Denial Analyst
Rancho Mirage, CA · On-site
Denial Analyst Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Duration: 03+ months with possible extension Facility: Eisenhower Medical Center Job type: Onsite Shift timing: 8:30 AM - 5:00 PM ...
Claims A/R and Denial Analyst Escalations - CPC Lead Reports to: VP RCM & Coding Compliance -MSO Department: Revenue Cycle Management Classification: Exempt Category: _ Full-time Salary Grade: $85 ...
Claims A/R and Denial Analyst Escalations - CPC Lead Reports to: VP RCM & Coding Compliance -MSO Department: Revenue Cycle Management Classification: Exempt Category: _ Full-time Salary Grade: $85 ...
Clinical Denial Analyst (RN)
Evansville, IN · On-site
$28.71 - $40.19/hr
The Coordinator will prepare appeals, reports of denial activity and identify trends for the Denial Analysis Team to make appropriate changes to prevent future denials. Required: Certifications ...
Clinical Denial Analyst (RN)
Evansville, IN · On-site
$28.71 - $40.19/hr
The Coordinator will prepare appeals, reports of denial activity and identify trends for the Denial Analysis Team to make appropriate changes to prevent future denials. Required: Certifications ...
Denials Analyst
Birmingham, AL · On-site
$15 - $20/hr
We are currently seeking a Denial Analyst. This operational role is ideal for an individual who thrives in a leadership role, possesses exceptional analytical skills, and has a deep understanding of ...
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Denials Analyst
Birmingham, AL · On-site
$15 - $20/hr
We are currently seeking a Denial Analyst. This operational role is ideal for an individual who thrives in a leadership role, possesses exceptional analytical skills, and has a deep understanding of ...
Analyst-Denial II
Memphis, TN · On-site
Job Summary Performs the daily functions of denial analysis, which includes database management, follow-up, administrative support, and customer service to achieve improved mitigation of denials ...
Analyst-Denial II
Memphis, TN · On-site
Job Summary Performs the daily functions of denial analysis, which includes database management, follow-up, administrative support, and customer service to achieve improved mitigation of denials ...
Analyst-Denial II
Memphis, TN · On-site
Overview Job Summary Performs the daily functions of denial analysis, which includes database management, follow-up, administrative support, and customer service to achieve improved mitigation of ...
Analyst-Denial II
Memphis, TN · On-site
Overview Job Summary Performs the daily functions of denial analysis, which includes database management, follow-up, administrative support, and customer service to achieve improved mitigation of ...
Denial Analyst - RN
Baton Rouge, LA · On-site
Provides on-going trend analysis to identify reasons for denials and apply corrective actions steps to prevent cash flow retardation. * Proactively researches and understands payer issues.
Denial Analyst - RN
Baton Rouge, LA · On-site
Provides on-going trend analysis to identify reasons for denials and apply corrective actions steps to prevent cash flow retardation. * Proactively researches and understands payer issues.
Denials Analyst
Conway, SC · On-site
The Denial Analyst (DA) is responsible for the daily review and resolution of technical denials that are assigned to the analyst for resolution. The analyst monitors, researches and appeals all ...
Denials Analyst
Conway, SC · On-site
The Denial Analyst (DA) is responsible for the daily review and resolution of technical denials that are assigned to the analyst for resolution. The analyst monitors, researches and appeals all ...
Denials Analyst
Conway, SC · On-site
The Denial Analyst (DA) is responsible for the daily review and resolution of technical denials that are assigned to the analyst for resolution. The analyst monitors, researches and appeals all ...
Denials Analyst
Conway, SC · On-site
The Denial Analyst (DA) is responsible for the daily review and resolution of technical denials that are assigned to the analyst for resolution. The analyst monitors, researches and appeals all ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
The Denial Management Analyst manages disputed or denied claims by analyzing medical records and payer policies to recover reimbursements in a hospital setting. Reviews and responds to payer audits.
The Denial Management Analyst manages disputed or denied claims by analyzing medical records and payer policies to recover reimbursements in a hospital setting. Reviews and responds to payer audits.
The Denial Management Analyst manages disputed or denied claims by analyzing medical records and payer policies to recover reimbursements in a hospital setting. Reviews and responds to payer audits.
The Denial Management Analyst manages disputed or denied claims by analyzing medical records and payer policies to recover reimbursements in a hospital setting. Reviews and responds to payer audits.
Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health. Initiates a root cause analysis ...
Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health. Initiates a root cause analysis ...
Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health. Initiates a root cause analysis ...
Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health. Initiates a root cause analysis ...
Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health. Initiates a root cause analysis ...
Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health. Initiates a root cause analysis ...
Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with ...
Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with ...
Analyze denial trends by payer, denial code, denial category, and operational root cause * Review outputs involving CARC/RARC codes, payer denial patterns, appeal deadlines, reimbursement recovery ...
Analyze denial trends by payer, denial code, denial category, and operational root cause * Review outputs involving CARC/RARC codes, payer denial patterns, appeal deadlines, reimbursement recovery ...
Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with ...
Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with ...
Revenue Recovery Analyst
Joplin, MO · On-site
Experience in revenue integrity, denial analysis, billing compliance, or revenue cycle analytics * Epic experience preferred * Proficiency in Microsoft Excel and reporting tools Preferred ...
Revenue Recovery Analyst
Joplin, MO · On-site
Experience in revenue integrity, denial analysis, billing compliance, or revenue cycle analytics * Epic experience preferred * Proficiency in Microsoft Excel and reporting tools Preferred ...
Denial Analyst information
What are the key skills and qualifications needed to thrive in the denial analyst position, and why are they important?
To thrive as a Denial Analyst, you need analytical skills, knowledge of healthcare claims processing, and a background in medical billing or health administration. Familiarity with claims management software, EHR systems, and certifications such as Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) are highly beneficial. Attention to detail, problem-solving abilities, and strong written and verbal communication help Denial Analysts excel in reviewing and resolving claims issues. These skills ensure effective identification and correction of reimbursement denials, supporting timely revenue recovery for healthcare organizations.
What is a denial analyst?
A Denial Analyst is responsible for reviewing and analyzing medical insurance claims that have been denied or rejected by insurance companies. They investigate the reasons for denials, identify patterns, and work with billing teams, healthcare providers, and insurance companies to resolve issues and recover payments. Denial Analysts also help implement process improvements to reduce future claim denials and ensure compliance with insurance policies and regulations. Their role is critical in optimizing revenue cycle management and improving reimbursement rates for healthcare organizations.
What are some typical challenges faced by denial analysts in their daily work?
Denial Analysts often encounter challenges such as navigating complex healthcare regulations, interpreting varied insurance policies, and addressing high volumes of denied claims. Staying up-to-date on payer guidelines and working closely with coding, billing, and clinical teams to resolve inconsistencies is a key part of the role. It's common to manage competing deadlines and work under pressure to ensure appeals are filed promptly. However, overcoming these challenges develops valuable expertise and can open doors to advanced roles in revenue cycle management or healthcare compliance.
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Job description
Denial Analyst
Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Duration: 03+ months with possible extension Facility: Eisenhower Medical Center Job type: Onsite Shift timing: 8:30 AM - 5:00 PM | Monday – Friday
Position SummaryResponsible for researching and resolving claim denials, ADR requests, and certs, submitting and tracking appeals, noting trends and providing monthly reports. Respond to audit requests (including RAC) from payors. Maintains a Library of Payer reference material regarding requirements for pre-authorization, medical necessity and documentation requirements. Works with the Revenue Cycle stakeholders (e.g. Admitting, Coding, Provider Liaisons, etc.) to provide information related to denials and opportunities for future denials
Required EducationHigh School diploma or equivalent
PreferredAssociate degree
Specific Skills, Knowledge, Abilities Required- Strong Analytical skills, Proficient in Microsoft Windows with emphasis on Excel.
- Ability to prioritize and coordinate workflow and attention to detail.
- Knowledge of CPT, HCPC and ICD 10 coding requirements with emphasis on modifiers and diagnosis association.
- Working knowledge of LCD's, NCCI and MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims, authorization and documentation requirements.
About Compu-Vision Consulting
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Growth We understand that employees are our most valuable resource. We have a strong history of promoting from within. We strive to create growth opportunities for those who want to reach the high bar. Innovation We offer an innovative environment where people and technology come together. We enable employees to develop and contribute to their full potential. Integrity We strive to create an environment where each individual is valued and respected. Respect is the cornerstone of Compu-Vision as outlined in our Respect Credo.
Industry
Business management consulting
Company size
51 - 200 Employees
Headquarters location
North Brunswick, NJ, US
Year founded
1998