AdventHealth · 23 hours ago
Denials Management Prevention Analyst
Maitland, FL
Full-time
Onsite
New Grad, Entry Level
$50K/yr - $92K/yrAdventHealth is a community-focused organization dedicated to uplifting individuals in body, mind, and spirit. They are seeking a Denials Management Prevention Analyst to collect and analyze data related to denials management, communicate insights, and lead prevention projects to improve processes.
Health CareHospitalOnline Portals
Responsibilities
Collects, analyzes, and reports data for insights into denials management operations and special prevention projects
Communicates and presents insights and recommendations to the denials management committee on prevention activities
Coordinates material and provides updates for key denials prevention program documentation
Reviews managed care contracts and compares them against patient claims to identify and prevent claim underpayments
Provides feedback to managed care on identified underpayment issues for remediation with the payor
Tracks payer audit requests and monitors adherence to contractual terms, communicating violations to the managed care contract team
Leads denials management prevention projects by gathering and analyzing data to support process improvement
Develops and maintains up-to-date denials management staff job aides, training materials, and playbooks
Onboards and continuously trains denials management staff on workflow, technology, policies, and procedures
Travels to individual facilities or business offices as needed to conduct trainings, provide operational support, and attend meetings
Communicates and coordinates with various individuals and departments to assist with monitoring claims prevention activities
Strives to meet and exceed productivity and quality expectations, escalating concerns or difficulties in a timely manner for management action
Performs other duties as assigned
Qualification
Required
High School Grad or Equiv (Required)
Benefits
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Company
AdventHealth
AdventHealth is a nonprofit healthcare system providing whole-person care through hospitals, clinics, and virtual services.
Founded in 1973
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$0.25MKey Investors
Florida Blue FoundationKentucky Opioid Abatement Advisory Commission
2025-09-15Grant
2023-10-05Grant· $0.25M
Leadership Team
Clifton Scott
COO Flagler | St. Johns Market
Tom Nesteruk
Head of Global Workforce Strategy | SVP Human Resources
Recent News
Business Wire
2026-01-09
Bizjournals.com Feed (2025-11-12 15:43:17)
2026-01-06
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