Denials and Resolution Analyst - Business Services

About the role

Follow up on and monitor under-payments from third-party payers, collect and analyze data related to provider and facility inquiries, disputes, and appeals. Develop policies and procedures and oversee quality assurance processes for provider and hospital disputes.

Responsibilities

• Ensure accurate resolution of denials
• Maintain detailed documentation
• Support billing and collections processes

Requirements

• Minimum of 2 years' experience in a medical office, hospital billing, or collections
• College degree preferred
• Strong organizational, reading, writing, and communication skills
• Proficient in Excel
• Understanding of billing protocols and reimbursement issues
• Ability to maintain precise records
• Work independently and learn billing procedures
• Handle dispute resolution effectively