Job Details

The Denials and Appeals Analyst assists in the recovery of Health System revenue by bringing denied claims to full resolution. He/ She works collaboratively with departmental peers throughout the System to achieve departmental and system-wide quality, satisfaction, and financial goals. The Denials and Appeals Analyst coordinates the appeals process for denials deemed appropriate by the Patient Financial Services Director and the Denials Manager. He/ She assures that prompt action is taken on assigned denials by coordinating with clinical staff to create written and/or verbal clinical appeals with payers. The Analyst works closely with third party payors, Managed Care representatives, insurance billing staff, case management, and other service departments to resolve denied claims. He/ She is a liaison and communicates denials related information and knowledge to Organizational Leaders. DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, effort...Appeals, Analyst, Technology, Banking, Skills