Westerkamp Group, LLC is an accounts receivable management company focused on hospital and professional billing and collections. The company is seeking a Denial Analyst to lead denial resolution efforts, identify root causes, and support strategies that reduce future denials.
This role requires strong analytical ability, deep understanding of Epic configurations, and experience working within the denial lifecycle. The position will support revenue cycle optimization by improving workflows, delivering actionable insights, and helping maximize revenue capture for clients.
Key responsibilities
- Identify, analyze, and trend common denial reasons such as medical necessity, lack of authorization, coding errors, timely filing, and incorrect modifiers.
- Develop and implement strategies to overturn denials and accelerate payment resolution.
- Serve as a subject matter expert for Epic Resolute related to denial prevention and resolution.
- Analyze Epic workflows and configurations to identify root causes of denials caused by system setup or user error.
- Assist with troubleshooting Epic-related issues that lead to denials.
- Develop and maintain denial management policies and procedures.
- Prepare and present regular reports on denial trends, recovery rates, and team performance to revenue cycle management leadership and clients.
Requirements & Qualifications
Required qualifications
- 1+ years of direct, hands-on experience as an Epic Professional Billing (PB) Analyst or in a role heavily using Epic PB for operational analysis and workflow optimization.
- Epic Resolute Certification is highly preferred.
- Additional Epic certifications such as Prelude or Cadence are a plus.
- Strong understanding of professional medical coding, including CPT, ICD-10, and HCPCS.
- Knowledge of claim submission using CMS-1500 and remittance processing through ERA/EOB.
- Strong analytical, problem-solving, and critical thinking skills.
- Excellent leadership, communication, and interpersonal skills.
- Proficiency in Microsoft Excel for data analysis and reporting.
Location
Alabama, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 months ago