Denials Analyst

Key Skills : BLS, Nursing, caregiving

Experience : 2+ Years

24-05-2024      Folsom,California

Job Description :

**Quick Start**

Urgent need for a Denials Analyst for one of our client which is a Medical Center ,

• Job Location: Folsom, CA 95630
• Shift: Days/Nights/Evenings
• Duration of Contract: 13 weeks
• Guaranteed hours: 40 hrs/week
• Minimum years of experience: 1 year

Pay rate: $25/hr

Job Description:

• Responsible for researching and resolving claim denials, ADR requests and certs, submitting and tracking appeals, noting trends and providing monthly reports.
• Responds to audit requests (including RAC) from payors. Maintains a Library of Payer reference material regarding requirement for pre authorization, medical necessity and documentation requirements.
• Works with the Revenue Cycle stakeholders (e.g. Admitting, Coding, Provider Liaisons, etc.) to provide information related to denials and opportunities for future denials.
• Strong Analytical skills, Proficient in Microsoft Windows with emphasis on Excel.
• Working knowledge of LCD’s, NCCI and MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims, authorization and documentation requirements
• Ability to prioritize and coordinate workflow and attention to detail.
• Knowledge of CPT, HCPC and ICD 10 coding requirements with emphasis on modifiers and diagnosis association.

Position Requirements:

• High School diploma or equivalent-Required
• Associate degree-Preferred
• Minimum 2 years of Professional Billing with an emphasis in Managed Care denial follow up and appeals processing Prior hospital billing experience a plus
• 3-5 years of Patient Accounting in a high volume environment

For More details please contact #425-250-9798

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