Non-Clinical Denials Analyst - Government


Only accepting internal applicants currently working in Patient Financial Services for Cottage Health

Responsible for the identification, analysis and resolution of non-clinically based denials and appeals between Cottage Health and outside payers. The analyst will work with revenue cycle and clinical departments within Cottage Health, and Government payors' (Medicare, Medicare Senior Advantage, Medi-Cal, Medi-Cal Managed Care) provider representatives to identify the source of denials and develop processes to eliminate and/or minimize denials and rejections to improve cash flow. The non-clinical denials analyst works denied and underpaid accounts to obtain full reimbursement for services provided and identify denial and underpayment root causes.

Qualifications

LEVEL OF EDUCATION

Preferred Associates or Higher

TECHNICAL REQUIREMENTS

Basic User of MS Outlook, Word and Excel

YEARS OF RELATED WORK EXPERIENCE

2 years of billing/collections revenue cycle experience , with at least one of those years working with denials and appeals.

Preferred: 3 years working with denials and appeals, in an acute care setting. 1 year supervisory experience.