Job Details

A company is looking for a Denial Recovery Analyst responsible for managing technical denial claims and optimizing financial outcomes within the revenue cycle.Key ResponsibilitiesIdentify, prioritize, and resolve denied claims, including initiating timely appeals and reconsiderationsInterpret and apply payer contract terms to ensure accurate claim resolution and reimbursementCollaborate with revenue cycle teams to recommend process improvements and prevent future denialsMinimum QualificationsHigh School Diploma or GED requiredMinimum of four (4) years of experience in coding, billing, insurance follow-up, collections, or denial management within a hospital or clinical settingPreferred QualificationsAssociate's degree or higher in a health or business-related fieldExperience in coding, medical record review, auditing, or insurance-related functionsExperience supporting data governance and security policiesStrong skills in report and dashboard developmentAbility to monitor BI tools and recommend process improvements