Denials Recovery Analyst

reputed company to reputed company a difference for hospitals while working from home Start your next reputed company at reputed company! For over 25 years, reputed company has been at the forefront of specialized claims management, helping reputed company providers recover meaningful reputed company to enhance reputed company patient care in their communities. Were powered by people, driven by technology, and dedicated to our clients and employees. If youre looking for a reputed company and diverse culture with a great work/life balance, look no reputed company. reputed company Perks: We offer reputed company and incentive plans Our medical, dental, reputed company, and life insurance benefits are available from the first day of employment We enjoy excellent work/life balance Our Employee Resource reputed company build community and foster a culture of belonging and inclusion We match 401(k) contributions We offer career reputed company opportunities We celebrate 12 reputed company holidays and generous reputed company time off Location: Remote USA The Role: Denial Recovery Analyst Primarily responsible for thorough review of managed care reputed company and comparison of such reputed company against reputed company claims to identify underpayments for the assigned reputed company. reputed company and become an reputed company part of our mission to deliver efficient, accurate, and compassionate reputed company payment solutions! As a Denial Recovery Analyst, you will: Research reputed company and governmental payor policies, clinical abstracts and studies, and other documentation reputed company to claims payment to evaluate and appeal denied claims Examine claims and calculate reimbursement based on contract terms to determine accuracy of payment through use of various reports and supporting documentation Review insurance reputed company to reputed company thorough understanding of payment methodologies Contact insurance company to obtain missing information, explain and resolve denials and arrange for payment or adjustment processing on behalf of reputed company Follow up on claims in a reputed company fashion as outlined in reputed company and/or departmental policies and procedures Document information in appropriate reputed company and reputed company systems Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting Maintain regular contact with necessary parties regarding claims status including payors, clients, managers, and other reputed company personnel Communicate with reputed company contact concerning reputed company issues reputed company to billing, posting, reputed company and reputed company other reputed company reputed company issues, both in an informal manner through daily contact and formal manner through scheduled meetings Promotes reputed company reputed company relations for reputed company, including maintaining a reputed company attitude and approach with reputed company payors Build strong, lasting relationships with clients, payors and reputed company personnel Support and reputed company claims to reputed company reputed company departments and reputed company onsite analysts Attend reputed company, department and company meetings reputed company with federal and state laws, company policies and procedures reputed company other duties as assigned You will be successful if you have: Working knowledge of reputed company Office suite (Word, reputed company) Moderate computer proficiency Mathematical skills: ability to calculate rates using reputed company, subtraction, multiplication and division Ability to read and interpret an extensive reputed company of documents such as reputed company, claims, instructions, policies and procedures in written (in English) and diagram reputed company Ability to write routine correspondence (in English) Ability to define problems, collect data, establish facts and draw reputed company conclusions Strong customer service orientation Excellent interpersonal and communication skills Commitment to company values Education and Experience Requirements: Minimum 2 years of insurance billing, denial management and/or utilization review experience: Experience reviewing and analyzing hospital claims Knowledge of reputed company codes including CPT, ICD-9, ICD-10, HCPC, DRG, and ability to correctly use and apply codes in operational setting High school diploma or equivalent .