Savista · 1 day ago

Denial Prevention Analyst

United States

Full-time

Remote

Mid Level

$0/yr - $59K/yr

3+ years exp

Maximize your interview chances

AccountingBilling

Insider Connection @Savista

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Trend Analysis: Analyze denial trends and patterns to identify root causes and implement proactive measures to prevent future denials.

Data Collection: Collect, compile, and analyze data from various sources to generate comprehensive reports on denial rates, reasons, and impacts.

Monthly Reporting: Present detailed monthly reports and insights to hospital and physician stakeholders, highlighting key findings and recommendations for improvement.

Stakeholder Collaboration: Work closely with hospital and physician staff to understand their needs, address concerns, and provide targeted solutions to minimize denials.

Process Improvement: Develop and implement process improvements to enhance efficiency and reduce the likelihood of denials.

Training and Education: Provide training and education to staff on best practices for denial prevention and management.

Compliance: Ensure compliance with all relevant regulations, guidelines, and standards related to claims and denials.

Documentation: Maintain accurate and up-to-date documentation of denial cases, interventions, and outcomes.

Performance Metrics: Monitor and report on key performance indicators (KPIs) related to denial prevention efforts.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Healthcare AdministrationDenial ManagementRevenue Cycle AnalysisData Analysis ToolsHealthcare BillingCodingReimbursement ProcessesHealthcare Compliance CertificationCoding CertificationRevenue Cycle Management Certification