Resolution Analyst, Denials

📋 Description

• Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned
• Use payment documentation provided by payers and medical provider contract information to determine
• Efficiently review hospital contracts to identify and collect cash payments from insurance
• Research, request, and acquire all pertinent medical records and supporting documentation to create
• Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting
• Ensures smooth operations and improves customer satisfaction.

🎯 Requirements

• High School Diploma or GED required. Associates or Bachelor’s Degree preferred.
• 5+ years’ experience in healthcare field working in billing or collections.
• 1+ years’ client facing/customer services experience.
• Intermediate level understanding of insurance payer/provider claims processing and subsequent data
• Equivalent combination of education and experience will be considered.
• Must have strong computer proficiency and understand how to use basic office applications