Resolution Analyst, Denials (REMOTE)

📋 Description

• Review, appeal, and follow up on denied/underpaid claims using EnableComp tools.
• Use payer docs and provider contracts to determine correct reimbursement.
• Review hospital contracts to identify and collect cash payments from payers.
• Research and obtain medical records to file complex underpayment appeals.
• Phone follow-ups with payers to confirm receipt and resolve receivables.
• Ensure smooth operations and improve 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 understanding of payer/claims processing and data requirements.
• Strong computer proficiency and MS Office (Word, Excel, Outlook).