Denials Analyst | Healthcare

3 weeks ago


Rancho Mirage, United States CRG Full time

Denials Analyst | Healthcare

CRG has partnered with a Healthcare workforce company that specializes in managing services for the Healthcare industry. This company has partnered with over 500 facilities nationwide focusing on consulting, management services, and technology. They are looking for a Denials Analyst to join their team on a long-term contract basis. This person would be responsible for maintaining compliance with the Code of Conduct, analyzing denied, underpaid, and unpaid claims, maintaining appeals data, and identifying billing and coding trends in denials.

Opportunity: Contract (13-Month Contract, possibility of 3-month extension)

Compensation: $22-$24/hour

Location: Rancho Mirage, Riverside County, CA

Schedule: 8 hour shifts with the eligibility for OT

Responsibilities:

  • Demonstrates compliance with Code of Conduct and compliance policies and takes action to resolve compliance questions or concerns and report suspected violations.
  • Analyze denied, underpaid and unpaid claims. Appeal underpaid and denied claims within timely filing periods.
  • Identify, track and report on denial trends.
  • Maintain an appeals data base to identify and report outcomes and opportunities.
  • Identify any billing and/or coding trends resulting in denials and report to the Coding manager.
  • Identify any other trends resulting in denials and report to Manager.
  • Attend all available coding and appeals related seminars as available.

Qualifications:

  • High School Diploma or equivalent
  • 2+ years of billing experience with an emphasis in managed care denial required
  • Proficient in Microsoft Office
  • Certified coder or currently enrolled in a coding program preferred
  • 3+ years Patient Accounting in a high-volume environment preferred

Category Code: JN002, JN023


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