Financial Denials Analyst

A company is looking for a Financial Clearance Denials Analyst to research, analyze, and resolve claim denials for the hospital. Key Responsibilities Perform insurance verification for eligibility, coverage, and authorization requirements Collaborate with various departments to validate data and resolve discrepancies related to claims Prepare and track appeals for denied claims, ensuring compliance with payer requirements Required Qualifications High School Diploma or Equivalent required; Associate's Degree in a related field preferred 1-2 years of experience in insurance, third-party payor, or a healthcare setting required 0-1 year of experience in denials management or appeals preferred Experience can be accepted in lieu of a degree Knowledge of HIPAA regulations and medical coding (ICD-10, CPT) is beneficial

Mar 3, 2025 - 07:37

A company is looking for a Financial Clearance Denials Analyst to research, analyze, and resolve claim denials for the hospital. Key Responsibilities Perform insurance verification for eligibility, coverage, and authorization requirements Collaborate with various departments to validate data and resolve discrepancies related to claims Prepare and track appeals for denied claims, ensuring compliance with payer requirements Required Qualifications High School Diploma or Equivalent required; Associate's Degree in a related field preferred 1-2 years of experience in insurance, third-party payor, or a healthcare setting required 0-1 year of experience in denials management or appeals preferred Experience can be accepted in lieu of a degree Knowledge of HIPAA regulations and medical coding (ICD-10, CPT) is beneficial