Miami, FL · On-site
GENERAL The RN Denial Analyst is responsible for reviewing denial claims, submitting reconsiderations or appeals. Reporting to the Revenue Cycle Director, this role is responsible to optimize the ...
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Miami, FL · On-site
GENERAL The RN Denial Analyst is responsible for reviewing denial claims, submitting reconsiderations or appeals. Reporting to the Revenue Cycle Director, this role is responsible to optimize the ...
Miami, FL · On-site
GENERAL The RN Denial Analyst is responsible for reviewing denial claims, submitting reconsiderations or appeals. Reporting to the Revenue Cycle Director, this role is responsible to optimize the ...
Quick apply
Miami, FL · On-site
GENERAL The RN Denial Analyst is responsible for reviewing denial claims, submitting reconsiderations or appeals. Reporting to the Revenue Cycle Director, this role is responsible to optimize the ...
Additionally, the Coding Denial Analyst monitors denial results and notifies Coding Leadership of any identified trends. WHO WE ARE With 11 ministries and access points across Indiana, Franciscan ...
Additionally, the Coding Denial Analyst monitors denial results and notifies Coding Leadership of any identified trends. WHO WE ARE With 11 ministries and access points across Indiana, Franciscan ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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.
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.
Baton Rouge, LA · On-site
Analysis and Recommendations * Provides on-going trend analysis to identify reasons for denials and apply corrective actions steps to prevent cash flow retardation. * Proactively researches and ...
Baton Rouge, LA · On-site
Analysis and Recommendations * Provides on-going trend analysis to identify reasons for denials and apply corrective actions steps to prevent cash flow retardation. * Proactively researches and ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Southfield, MI · On-site
$80K - $95K/yr
Denial Analysis & Revenue Recovery Monitor submitted claims and accounts receivable to identify trends related to denials, delayed payments, underpayments, aging AR, and reimbursement slowdowns.
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Southfield, MI · On-site
$80K - $95K/yr
Denial Analysis & Revenue Recovery Monitor submitted claims and accounts receivable to identify trends related to denials, delayed payments, underpayments, aging AR, and reimbursement slowdowns.
Responsible for analyzing denied claims, identifying root causes, and preparing reports on denial trends. Reviews claims, corrects errors, and maintains compliance with payer policies and regulatory ...
Responsible for analyzing denied claims, identifying root causes, and preparing reports on denial trends. Reviews claims, corrects errors, and maintains compliance with payer policies and regulatory ...
Akron, OH · On-site +1
$18 - $23/hr
Develops suggestions for coding and documentation process improvements, based on denial analysis and industry coding guidelines * Extracts data into clear reports to revenue recover and revenue cycle ...
Akron, OH · On-site +1
$18 - $23/hr
Develops suggestions for coding and documentation process improvements, based on denial analysis and industry coding guidelines * Extracts data into clear reports to revenue recover and revenue cycle ...
Responsible for analyzing denied claims, identifying root causes, and preparing reports on denial trends. Reviews claims, corrects errors, and maintains compliance with payer policies and regulatory ...
Responsible for analyzing denied claims, identifying root causes, and preparing reports on denial trends. Reviews claims, corrects errors, and maintains compliance with payer policies and regulatory ...
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.
Southfield, MI · On-site
$95K - $105K/yr
Denial Analysis & Revenue Recovery Monitor submitted claims and accounts receivable to identify trends related to denials, delayed payments, underpayments, aging AR, and reimbursement slowdowns.
Quick apply
Southfield, MI · On-site
$95K - $105K/yr
Denial Analysis & Revenue Recovery Monitor submitted claims and accounts receivable to identify trends related to denials, delayed payments, underpayments, aging AR, and reimbursement slowdowns.
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 ...
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.
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.
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.
Larkin Health System is an integrated healthcare delivery system accredited by the Joint Commission with locations in South Miami, Hialeah and Hollywood, Florida. Our network of acute care hospitals provide a complete continuum of healthcare services, including a full range of inpatient and outpatient services, and home health agencies in Miami-Dade and Broward County. We are heavily invested in training the next generation of health professionals, which is the core of our mission: to provide access to compassionate care of the highest quality in an educational environment.
GENERAL JOB DESCRIPTION
The RN Denial Analyst is responsible for reviewing denial claims, submitting reconsiderations or appeals. Reporting to the Revenue Cycle Director, this role is responsible to optimize the financial outcomes of the hospital-based revenue cycle through maintaining a low denial rate and high reimbursement rate. Initiates a root cause analysis of denied payment through comprehensive means including but not limited to: research of patient stays and treatment, review of payer contracts, analysis of historical denials, appeals and their outcomes, emerging trends in payer practices and requirements. The RN denial analyst is considered an expert in denial management and ensures all denied claims are accurately worked from a technical/ billing perspective. Working in collaboration with the different revenue cycle departments through the health system to establish best practice solutions to maximize reimbursement and minimize organizational write-offs.
DUTIES AND RESPONSIBILITIES
QUALIFICATIONS FOR THE JOB
Education:
Registered nurse (RN), or Bachelor’s degree in nursing or equivalent knowledge.
Experience:
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At Larkin, we have been serving the health care needs of South Miami, Hialeah, and the surrounding communities for more than 40 years. We take pride in the continuing tradition of caring. We remain dedicated to providing excellent medical care with the personal touch and convenience that only a community hospital offers.
Health care and social assistance
1,001 - 5,000 Employees
South Miami, FL, US
1969
