Bringing hope and healing to families, every day.
Denials Management Analyst
Location
United States
Posted
61 days ago
Salary
Not specified
Job Description
Job Requirements
- Bachelor's degree, or equivalent combination of education and experience
- 5-7 Years in a Healthcare Revenue Cycle Environment including 3 years in Third Party Collection/AR Receivables and Denials Management
- Epic PB Resolute experience
- Knowledge of healthcare Revenue Cycle management including: Therapy (Physical/Occupational/Speech), Radiology, Pediatrics/Pediatric Orthopedics, Anesthesia
- Knowledge of EDI Transaction sets including 837I, 837P
- Knowledge of insurance contract rates and terms
- Knowledge and understanding of Registration and Collections
- Knowledge and understanding of Government and Managed Care billing, coverage and payment rules
- Ability to comprehend payor 835 and paper EOB responses
- Knowledge and understanding of NCCI edits, CPT-4, HCPCS, ICD-10 and Revenue Codes standards
- Intermediate Excel skills
- Preferred: CRCR Certification
- Preferred: Epic Certification
Benefits
- All employees are eligible for medical coverage on their first day!
- Eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service.
- Eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected.
- Tuition reimbursement
- Home & auto insurance
- Hospitalization insurance
- Critical illness insurance
- Pet insurance
- Much more!
Related Guides
Related Categories
Related Job Pages
More Business Analyst Jobs
Senior Business Analyst – Transportation and Sharing Economy Insurance
Crum & ForsterCrum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2024 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion. C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum & Forster, please visit our website: www.cfins.com .
Senior Business Analyst combining insurance knowledge and technical solutions in a fast-paced environment
Business Analyst III
Aspire SoftwareWe never stop building. A vertical acquisition software company that owns, operates and manages a diverse portfolio.
Business Analyst III supporting software solutions for Alliance Enterprises in a remote role
Claims Workforce Management Analyst
AAAProud to serve our 62+ million members, help travelers see the world and drive real change to improve road safety.
Claims Analyst optimizing operational workflows for the Claims Business Unit
Senior Insights Analyst supporting insights generation at Spherix