Role Overview
As a Denials Recovery Analyst, you will be responsible for reviewing managed care contracts and comparing them against healthcare claims to identify underpayments for assigned clients. You will work with various reports and documentation to evaluate and appeal denied claims, and communicate with insurance companies and clients to resolve issues.
What You Will Do
Your day-to-day responsibilities will include researching payor policies, examining claims, calculating reimbursement, and contacting insurance companies to resolve denials. You will also document information, prepare correspondence, and maintain regular contact with clients and payors.
Why It Might Be a Fit
We are looking for someone with strong customer service skills, excellent communication skills, and a commitment to company values. You will have opportunities for career growth and will be part of a collaborative and diverse culture with a great work-life balance.
Requirements
- Minimum 2 years of insurance billing, denial management and/or utilization review experience
- Experience reviewing and analyzing hospital claims
- Knowledge of healthcare codes including CPT, ICD-9, ICD-10, HCPC, DRG
- High school diploma or equivalent
Benefits
- Paid training and incentive plans
- Medical, dental, vision, and life insurance benefits from the first day of employment
- 12 paid holidays and generous paid time off
- 401(k) matching
- Career growth opportunities
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