Denial Analyst - Hospital Billing (Remote)

Medical Care of Boston Management Corporation(2 months ago)

OnsiteFull TimeMedior$52,749 - $70,993Revenue Cycle

About this role

The Revenue Cycle Denial Analyst is responsible for coordinating the analysis and resolution of denied claims to reduce denials and increase revenue. The role involves interpreting payment and denial data to identify payer and coding trends, risks, and opportunities and applying findings to improve operations and systems. This position supports payer relationship management and serves as a departmental resource on denial issues.

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Required Skills

Denials Analysis
Appeals Writing
Payer Research
Data Analysis
Reporting
Excel
Epic
Communication
Coding Denials
Root Cause

Qualifications

High School Diploma or GED
Bachelor's Degree Preferred

About Medical Care of Boston Management Corporation

cms.gov

The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services (HHS) that administers the nation's major healthcare programs, including Medicare and Medicaid. CMS is responsible for overseeing the healthcare system in the United States, ensuring access to high-quality healthcare services and improving health outcomes for its beneficiaries. Through its initiatives and regulations, CMS aims to provide a more transparent healthcare system and reduce costs while enhancing care delivery across the nation.

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