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Denial Prevention Analyst

Mary Free Bed Rehabilitation Hospital

Mary Free Bed Rehabilitation Hospital is a nationally accredited, not-for-profit rehabilitation provider focused on restoring hope and freedom through rehabilitation.

The Billing & Denial Prevention Analyst plays a critical role in ensuring accurate, timely, and compliant billing for inpatient and outpatient services. This role supports reimbursement integrity by reducing denials, resolving claim issues, and strengthening the organization’s financial performance.

Key responsibilities include:

  • Submitting accurate and timely insurance claims while following payer regulations
  • Monitoring unpaid claims, analyzing denial reasons, and managing the appeals process
  • Processing insurance rejections and follow-up requests for documentation
  • Identifying denial trends and recommending process improvements
  • Preparing reconsideration requests and tracking denial activity
  • Reviewing clinical documentation for completeness and compliance
  • Researching billing regulation changes and communicating updates to leadership
  • Assisting patients with balance questions, payment options, and financial assistance
  • Collaborating with Access, Patient Services, Revenue Cycle, and clinical teams
  • Supporting workflow improvements and other departmental initiatives
Requirements & Qualifications

Qualifications

  • Associate degree or equivalent experience in healthcare administration
  • At least 3 years of progressive experience in healthcare billing
  • General experience with CPT coding and third-party billing requirements
  • Strong analytical skills with the ability to interpret and present data
  • Excellent organizational and time management skills
  • Ability to manage multiple priorities and meet deadlines
  • Strong written and verbal communication skills
  • Ability to collaborate across departments and with external payers
  • Proficiency in Microsoft Office, especially Excel
  • Empathetic, professional approach to patient financial counseling and inquiries

Preferred

  • Certification as Certified Professional Coder (CSC), Certified Coding Specialist-Professional (CCS-P), or Certified Medical Reimbursement Specialist (CMRS)
  • 3 to 5 years of experience in rehabilitation hospitals, inpatient/outpatient billing, or specialty care
Benefits & Perks

Workplace highlights

  • Values-based culture centered on patient care
  • Clinical variety and interdisciplinary teamwork
  • Family-oriented work environment
  • Stability of a large organization with a close-knit team atmosphere
  • Opportunity to contribute to meaningful rehabilitation care

Equal opportunity and support

  • Reasonable accommodation available for qualified applicants and employees with disabilities
  • Equal opportunity employer
  • Compensation based on experience, starting from $19.50 an hour

Location

Michigan, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

No

Posted

1 month ago

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