Associate Revenue Cycle Analyst - Denials & Appeals

Job description

The Associate Revenue Cycle Analyst supports the Denials and Appeals team and is responsible for analyzing medical claims that receive non-payment. This individual is responsible for analyzing denied claims, tracking and reporting on trends, conducting root cause analysis, and putting processes and actions into place to ensure payment resolutions lead to appropriate payments. This position submits and negotiates payment requests and appeals with payers, and will develop and deploy processes to submit and monitor independent dispute resolution requests and appeals. Qualifications: - Serves as a source of knowledge for the Denials and Appeals team. - Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement for the designated revenue cycle function. - Assist with developing appropriate workflows and tracking trends related to denials and appeals. - Establishes an ongoing working relationship with other departments impacting revenue cycle performance. - Works closely with the vendor operations teams to oversee operations activity that directly impact the revenue cycle to accurately process actions in a timely manner for o...