Denials Management Prevention Analyst jobs in United States
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AdventHealth · 21 hours ago

Denials Management Prevention Analyst

positionEnglewood, CO
timeFull-time
remoteOnsite
seniorityMid, Senior Level
money$56K/yr - $105K/yr
date5+ years exp

AdventHealth is a community-focused healthcare organization dedicated to uplifting individuals in body, mind, and spirit. The Denials Management Prevention Analyst will collect and analyze data related to denials management operations, communicate insights to the denials management committee, and review managed care contracts to prevent claim underpayments.

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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

Qualification

Data analysisDenials managementBusiness intelligenceMicrosoft ExcelProblem solvingKeyboard skillsQuantitative skillsOrganization skills

Required

High School Grad or Equiv [Required]
5+ years related experience [Required]
Strong keyboard and 10 key skills
Proficiency in Microsoft Suite applications, specifically Excel and Word applications, as well as Outlook
Strong quantitative, analytical and organization skills
Strong problem solving skills
Proficiency in data warehousing and business intelligence platforms

Preferred

Experience in Billing, A/R follow up and denials management functions [Preferred]
Prior reporting and analytics background [Preferred]

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

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AdventHealth is a nonprofit healthcare system providing whole-person care through hospitals, clinics, and virtual services.
dateFounded in 1973
location
Altamonte Springs, Florida, USA
people-size501-1000 employees
web-link
https://www.adventhealth.com/

Funding

Current Stage
Late Stage
Total Funding
$0.25M
Key Investors
Florida Blue FoundationKentucky Opioid Abatement Advisory Commission
2025-09-15Grant
2023-10-05Grant· $0.25M

Leadership Team

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Clifton Scott
COO Flagler | St. Johns Market
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Bela Nand
Chief Medical Officer
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Recent News

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Company data provided by crunchbase