The Denials Prevention Analyst plays a crucial role in identifying and mitigating denial risks for both acute and ambulatory claims within the healthcare revenue cycle. This position involves ...
New
The Denials Prevention Analyst plays a crucial role in identifying and mitigating denial risks for both acute and ambulatory claims within the healthcare revenue cycle. This position involves ...
New
The Denials Prevention Analyst plays a crucial role in identifying and mitigating denial risks for both acute and ambulatory claims within the healthcare revenue cycle. This position involves ...
New
$69K - $104K/yr
The Denial Prevention Process Improvement Advisor leads the performance of deep dive analysis on clinical and technical denials for his or her respective client, utilizing multiple analytics tools ...
$69K - $104K/yr
The Denial Prevention Process Improvement Advisor leads the performance of deep dive analysis on clinical and technical denials for his or her respective client, utilizing multiple analytics tools ...
West Long Branch, NJ · On-site
$35 - $38/hr
Master claim denials and claims processing to support denial prevention strategies and drive claim ... Identify denial and payer trends and communicate findings to AR management and senior leadership.
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West Long Branch, NJ · On-site
$35 - $38/hr
Master claim denials and claims processing to support denial prevention strategies and drive claim ... Identify denial and payer trends and communicate findings to AR management and senior leadership.
Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr ... to prevent filing deadlines. * Evaluates accounts using remittances, denial reason codes, remark ...
Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr ... to prevent filing deadlines. * Evaluates accounts using remittances, denial reason codes, remark ...
Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr. ... Initiate and follow up on appeals to prevent timely filing denials and ensure optimal reimbursement ...
Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr. ... Initiate and follow up on appeals to prevent timely filing denials and ensure optimal reimbursement ...
Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr ... to prevent filing deadlines. * Evaluates accounts using remittances, denial reason codes, remark ...
Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr ... to prevent filing deadlines. * Evaluates accounts using remittances, denial reason codes, remark ...
Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr. ... Initiate and follow up on appeals to prevent timely filing denials and ensure optimal reimbursement ...
Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr. ... Initiate and follow up on appeals to prevent timely filing denials and ensure optimal reimbursement ...
Blue Ash, OH · On-site
$69.23 - $72.12/hr
Senior Director, Patient Access (2 Openings) ? Appleton, WI or Roanoke, VA ? $144,000-$150,000 Base ... denial prevention * Analyze operational and financial data to identify trends and improvement ...
Blue Ash, OH · On-site
$69.23 - $72.12/hr
Senior Director, Patient Access (2 Openings) ? Appleton, WI or Roanoke, VA ? $144,000-$150,000 Base ... denial prevention * Analyze operational and financial data to identify trends and improvement ...
$80K - $121K/yr
... denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle ...
$80K - $121K/yr
... denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... and denial prevention. Responsibilities Key Responsibilities: * Manages clinical denials from ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... and denial prevention. Responsibilities Key Responsibilities: * Manages clinical denials from ...
Analyze medical records or other medical documentation to validate services, tests, supplies and ... Denial Prevention Nurse Consultant
Analyze medical records or other medical documentation to validate services, tests, supplies and ... Denial Prevention Nurse Consultant
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... and denial prevention. Responsibilities Key Responsibilities: * Manages clinical denials from ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... and denial prevention. Responsibilities Key Responsibilities: * Manages clinical denials from ...
Analyze medical records or other medical documentation to validate services, tests, supplies and ... Denial Prevention Nurse Consultant
Analyze medical records or other medical documentation to validate services, tests, supplies and ... Denial Prevention Nurse Consultant
Greenville, SC · On-site
$17.75 - $21.75/hr
Root Cause Analysis & Denial Prevention • Identify recurring denial trends and reimbursement obstacles. • Partner with Coding, Credentialing, Registration, Authorizations, Cash Posting, Credits ...
Greenville, SC · On-site
$17.75 - $21.75/hr
Root Cause Analysis & Denial Prevention • Identify recurring denial trends and reimbursement obstacles. • Partner with Coding, Credentialing, Registration, Authorizations, Cash Posting, Credits ...
The Risk Prevention Analyst is responsible for providing operational risk assessments leveraging ... This role involves direct interaction with senior-level management at the financial institution and ...
The Risk Prevention Analyst is responsible for providing operational risk assessments leveraging ... This role involves direct interaction with senior-level management at the financial institution and ...
... low denial rates and maximizing recovery across the enterprise. Conducts root cause analysis of ... Initiate, track, and follow up on appeals to prevent timely filing denials and maximize ...
... low denial rates and maximizing recovery across the enterprise. Conducts root cause analysis of ... Initiate, track, and follow up on appeals to prevent timely filing denials and maximize ...
Greenville, SC · On-site
$17.75 - $21.75/hr
Root Cause Analysis & Denial Prevention • Identify recurring denial trends and reimbursement obstacles. • Partner with Coding, Credentialing, Registration, Authorizations, Cash Posting, Credits ...
Greenville, SC · On-site
$17.75 - $21.75/hr
Root Cause Analysis & Denial Prevention • Identify recurring denial trends and reimbursement obstacles. • Partner with Coding, Credentialing, Registration, Authorizations, Cash Posting, Credits ...
... low denial rates and maximizing recovery across the enterprise. Conducts root cause analysis of ... Initiate, track, and follow up on appeals to prevent timely filing denials and maximize ...
... low denial rates and maximizing recovery across the enterprise. Conducts root cause analysis of ... Initiate, track, and follow up on appeals to prevent timely filing denials and maximize ...
$53.5K - $61.6K
1% of jobs
$61.6K - $69.7K
1% of jobs
$69.7K - $77.8K
3% of jobs
$77.8K - $85.9K
12% of jobs
$91.2K is the 25th percentile. Wages below this are outliers.
$85.9K - $94K
12% of jobs
$94K - $102K
14% of jobs
The median wage is $106.1K / yr.
$102K - $110.1K
14% of jobs
$110.1K - $118.2K
10% of jobs
$118.2K - $126.3K
3% of jobs
$126.3K - $134.4K
2% of jobs
$135.3K is the 75th percentile. Wages above this are outliers.
$134.4K - $142.5K
28% of jobs
$53.5K
$109.8K
$142.5K
Cities with the most Senior Denial Prevention Analyst job openings:
The most popular types of Denial Prevention Analyst jobs are:
States with the most job openings for Senior Denial Prevention Analyst jobs include:
The top searched job categories for Senior Denial Prevention Analyst jobs are:

Hendersonville, NC • On-site
Full-time
Posted 3 days ago
New
Description
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
The Denials Prevention Analyst plays a crucial role in identifying and mitigating denial risks for both acute and ambulatory claims within the healthcare revenue cycle. This position involves analyzing clinical and technical denials, collaborating with various departments, and developing strategies to reduce denials through effective reporting and training initiatives. The analyst will work closely with stakeholders to implement sustainable measures that address the root causes of denials, ensuring compliance with billing regulations and optimizing revenue capture.
Responsibilities:
Responsibilities And Scope
Perform root cause analysis on denied accounts to identify high dollar and high-volume denials.
Identify trends impacting payment optimization and collaborate with internal and external departments to decrease system-wide denials.
Review adjustments based on Denial Write-Off Approval Levels, providing feedback to users.
Establish and monitor key performance indicators, developing standardized reporting and presenting denial reports to leadership.
Evaluate denial appeal practices and educate on best practices for responding to denials, ensuring necessary documentation is included.
Participate in Denial Committee, focusing on denial prevention activities and performance improvement.
Compile monthly reports and dashboards on avoidable write-offs, monitoring key performance indicators for performance improvement activities.
Partner with Managed Care to ensure adherence to contracts and communicate updates on billing guidelines and payment policies.
Identify and track areas of revenue leakage, submitting corrected claims and tracking for additional payment.
Collaborate with the Denials Management Team to provide information for resolving denials and create educational materials on process improvements.
Demonstrate understanding of federal, state, and third-party charging guidelines, analyzing revisions to coding and billing regulations.
Participate in in-services and organizational meetings, utilizing lean management tools and continuing education programs.
Other information:
Qualifications
Required
An associate degree in a related field or 5+ years of relevant experience.
Three (3)+ years of denial experience with commercial and government payer types for both professional and facility claims.
Knowledge of regulatory, compliance, and reimbursement methodologies.
Ability to research and interpret Federal, State, and Local billing regulations.
Demonstrated ability to navigate payer websites and understand billing requirements.
Ability to present data and complex information effectively to various audiences.
Excellent organizational and time management skills; detail-oriented and self-directed.
Strong computer skills, including report and dashboard creation using Word, PowerPoint, and Excel.
Strong interpersonal, critical thinking, and communication skills.
Strong problem-solving, research, and analytical skills.
Knowledge of CPT/APC/HCPCS and ICD/DRG coding and reimbursement concepts.
Positive service-oriented communication skills.
Legal Employer: Pardee - HCHC
Entity: Pardee UNC Health Care
Organization Unit: Patient Accounting
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: PARDEESUPP
Exempt From Overtime: Exempt: Yes
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
Employment Type: