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Clinical Appeals and Denial Analyst

INFIRMARY HEALTH

Ensures timely and effective responses to clinical denials and audit findings, supporting the appeals process by providing analytical insight, maintaining documentation standards, and facilitating communication between internal stakeholders and external payors. The role helps ensure compliance, reduce revenue loss, and improve outcomes related to governmental and commercial audits.

Requirements & Qualifications

Minimum qualifications

  • Bachelor's degree in business administration
  • Bachelor's degree in healthcare administration
  • Or 4 of the most recent 6 years' experience working in healthcare insurance or billing

Additional qualifications

  • Basic knowledge of the revenue cycle, including billing and reimbursement
  • Strong oral and written communication skills
  • Excellent organizational skills and attention to detail
  • Ability to manage multiple tasks simultaneously
  • Proficiency in personal computer use, including word processing, spreadsheets, data entry, email, scanning, and Adobe applications
  • Working knowledge of Midas report writing software is desired

Location

Alabama, US

Employment Type

Part-time

Experience Level

Intermediate Level

Remote work allowed

No

Posted

1 month ago

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