Billing & Denial Analyst jobs in United States
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Deaconess Health System · 22 hours ago

Billing & Denial Analyst

Deaconess Health System is seeking a compassionate and dedicated Billing & Denial Analyst to join their team. The role involves analyzing denied claims, working with the credentialing team, and implementing strategies to improve claim reimbursement and reduce denial rates.

Health CareMedicalWellness

Responsibilities

Review and analyze denied claims to identify root causes and potential solutions
Research and interpret payer policies and procedures to ensure accurate claim submission
Work closely with the credentialing team to resolve issues related to provider enrollment and credentialing
Develop and implement strategies to reduce denial rates and improve claim reimbursement
Timely follow-up on denied claims with insurance payers to expedite resolution
Appeal denied claims as necessary, providing clear and concise documentation to support appeals
Track and monitor the status of all denied claims, ensuring timely resolution
Analyze denial trends to identify patterns and opportunities for improvement
Generate regular reports on denial rates, resolution times, and other key performance indicators
Utilize data analysis tools to identify areas for process improvement and cost savings
Work collaboratively with the credentialing team, billing team, and other departments to ensure smooth operations
Communicate effectively with insurance payers, providers, and other stakeholders
Participate in meetings and provide updates on denial trends and resolution efforts

Qualification

Denial ManagementInsurance Follow-UpData AnalysisHealth Care BillingClaim SubmissionCommunication SkillsCollaboration

Required

Completion of High School or GED required
Understanding of insurance follow-up procedures required

Preferred

Knowledge of health care billing and collection preferred

Benefits

Flexible work schedules – Full time/part time/supplemental – Day/Eve/Night
Onsite children’s care centers (Infant through Pre-K)
Tuition reimbursement
Student Loan Repayment Program
Payactiv-earned wage benefit-work today, get paid tomorrow
Free access to fitness centers
Career advancement opportunities

Company

Deaconess Health System

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Deaconess Health System specializes in providing health care services.

Funding

Current Stage
Late Stage
Total Funding
$1.27M
2015-04-30Series Unknown· $1.27M

Leadership Team

S
Shawn McCoy
CEO
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Company data provided by crunchbase