Job Description
Overview Denial Recovery Analyst Turn denials into dollars-drive revenue recovery and optimize financial outcomes across the healthcare enterprise. Work Style: Remote Location Requirement: Must reside in Florida or Georgia FTE: Full-Time (1.0 FTE) Responsible for reviewing technical denial claims and submitting reconsiderations and appeals to ensure accurate and timely reimbursement. Optimizes financial performance within the revenue cycle by maintaining low denial rates and maximizing recovery across the enterprise. Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with third-party payers, responding to inquiries, disputes, and correspondence. Collaborates with Enterprise Technical Denial Assistance leadership and Managed Care to escalate and resolve complex denial issues while ensuring compliance with state and federal regulations. Serves as a subject matter expert in denial management, partnering with revenue cycle teams to implement best practices that improve reimbursement and reduce organizational write-offs. Responsibilities Key Responsibilities Identify, prioritize, and resolve denied claims, including initiating timely appeals and reconsiderations Interpret and apply payer contract terms to ensure accurate claim resolution and reimbursement Conduct internal and external correspondence clearly, professionally, and in compliance with organizational standards Review and take appropriate action on EOBs, denial letters, appeal determinations, and documentation requests in a timely manner Meet productivity and accuracy standards, including working an avera