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Role Description

The Denial Prevention Analyst position is responsible for pre-registering scheduled patients. The role includes:

• Conducting pre-service patient interviews.
• Ensuring a complete and accurate billing record for the scheduled service.
• Collecting estimated patient financial liabilities.
• Increasing net revenue by reducing bad debt and potential write-offs.
• Interacting with providers, payers, patients, and hospital-based personnel.
• Performing duties accurately and timely while providing exceptional customer service.

Qualifications

• Proficient in typing.
• General knowledge of medical terminology.
• Ability to communicate effectively and professionally in English, both verbally and in writing. Bilingual a plus.
• Critical thinking and problem-solving skills.
• High school graduate or equivalent.
• One year of previous scheduling experience in the medical field is preferred.

Requirements

• Responsible for interviewing patients via phone through inbound/outbound efforts while completing the pre-registration process.
• Comply with regulatory requirements during the pre-registration process, including but not limited to completing the Medicare Secondary Payer Questionnaire.
• Educate patients on their estimated out of pocket financial responsibility and collect liabilities within the guidelines set forth by the organization.
• Escalate high dollar out of pocket accounts at risk for non-patient payment prior to services being rendered.
• Resolve patient demographic and insurance discrepancies as identified through various system tools.
• Thoroughly and accurately document the outcome of the patient interview while delivering excellent customer service.
• Observe privacy, safety, and security procedures, using equipment and materials properly.
• Work within a remote call center environment free from distractions and background noise.
• Exhibit exceptional customer service as a critical factor in all duties performed.

Benefits

• Competitive salary and benefits package.
• Opportunities for professional development and advancement.
• Supportive work environment with a collaborative team.
• Comprehensive healthcare coverage.
• Retirement savings plan.
• Paid time off and flexible scheduling options.
• Student loan repayment program.