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Ochsner Health · 1 day ago

Senior Financial Analyst - Specialized Appeals

New Orleans, LA

Full-time

Onsite

Mid, Senior Level

3+ years exp

Ochsner Health is a dedicated healthcare provider committed to serving and innovating since 1942. The Senior Financial Analyst - Specialized Appeals is responsible for managing and resolving insurance claim denials and underpayments, ensuring accurate reimbursement through detailed analysis and collaboration with various teams.

Health CareHospitalInformation TechnologymHealth

Responsibilities

Review and analyze denied or underpaid claims to determine appeal opportunities

Prepare and submit timely, accurate, and persuasive appeal letters with supporting documentation

Interpret payer guidelines, contracts, and regulatory requirements to ensure compliance

Collaborate with clinical staff and coding teams to obtain necessary documentation for appeals

Track and monitor appeal status, maintaining detailed records in the system

Identify trends in denials and provide feedback for process improvement

Communicate effectively with payers to resolve disputes and secure reimbursement

Other related duties as required

Qualification

Healthcare finance experienceAnalytical skillsProject managementPublic Accountant certificationCommunication skillsData entry skillsWindows applications proficiencyOrganizational skillsCollaboration abilitiesLeadership skills

Required

Bachelor's degree in Accounting, Finance, Math, Business Administration, or Computer Science or related area

3 years experience in healthcare finance or in a related field including two years of experience with project related, multi-task responsibilities with a professional staff, experience prioritizing, organizing and coordinating multiple work assignments under strict deadlines, often in a high pressure setting, experience working independently

Preferred

Master's degree in Business Administration (MBA) or other advanced degree in Accounting, Finance, or related field

Experience in healthcare or revenue cycle - specifically insurance claim denials

Strong analytical and organizational skills

Excellent communication and collaboration abilities

Certification as a Public Accountant or actively testing for certification

Company

Ochsner Health

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Ochsner Health is the leading nonprofit healthcare provider in Louisiana, Mississippi and across the Gulf South, delivering expert care at its 47 hospitals and more than 370 health and urgent care centers.

Founded in 1942

New Orleans, Louisiana, USA

10001+ employees