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
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