WRHP - Denials Management Analyst
Job Category: Professionals
Requisition Number: DENIA006700
Posting Details
Full-Time
Locations
Hospital WR
1900 23rd Street
Cuyahoga Falls, OH 44223, USA
Job Details
Description
Reviews, analyzes and documents all outpatient denials received by payors. Follows up with insurance companies, physicians, various hospital departments (i.e. medical records, financial counseling, healthcare review, managed care, etc.) to assure the recovery of denied revenue. Conducts statistical analysis for all denials. Assists with the creation of “payor report card” data to be used for contract negotiations.
Requirements
1. Education and Training
- Associate’s degree in business, accounting or closely related field or equivalent PAS/IT&S work experience.
- Additional experience may be substituted on a year to year basic for the education requirement.
2. Experience
- Five (5) or more years experience in healthcare patient accounting or health insurance industry.
3. Other Skills, Competencies and Qualifications
- Knowledge of basic accounting procedures, computers and other equipment used in the PFS area.
- Diverse knowledge and experience in utilizing standardized PC software.
This position is a remote/work from home - Local to Northeast Ohio Only
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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