Job Description Summary

This role is primarily responsible for conducting root cause analysis on claim denials, identifying trends and systemic issues, and working collaboratively with internal and external constituents to mitigate future denials. The Denial Analyst will compile findings into actionable reports and present recommendations to cross-functional teams for process improvement. The Denial Analyst serves as a subject matter expert for denial-related questions and process improvement initiatives.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC005031 SYS - Revenue Cycle Middleware

Pay Rate Type

Hourly

Pay Grade

Health-24

Scheduled Weekly Hours

40

Work Shift

Job Description

This role is primarily responsible for conducting root cause analysis on claim denials, identifying trends and systemic issues, and working collaboratively with internal and external constituents to mitigate future denials. The Denial Analyst will compile findings into actionable reports and present recommendations to cross-functional teams for process improvement. The Denial Analyst serves as a subject matter expert for denial-related questions and process improvement initiatives.

Qualifications

· Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field (or equivalent experience).

· 2+ years of experience in denial management, revenue cycle analytics, or a related healthcare finance role.

· Strong analytical and problem-solving skills with attention to detail.

Additional Job Description

Education: High School Degree or Equivalent Work Experience: 3 years

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees