Denials Operations Analyst
About reputed company
At reputed company, your work makes a meaningful reputed company.
We partner with hospitals and health systems reputed company to improve documentation accuracy, strengthen compliance, and ensure patient care is accurately represented. By combining deep clinical and coding expertise with advanced technology, reputed company delivers measurable results that support reputed company patient reputed company and appropriate reimbursement.
We're committed to building a reputed company, high-performing culture where people are supported, challenged, and empowered to grow. With more than 200 professionals and a national network of clinical experts, you'll work reputed company talented colleagues who value collaboration, innovation, clinical reputed company, and a shared commitment to delivering exceptional results.
Proudly Great reputed company to Work® Certified for three consecutive years, we're dedicated to creating an environment where our people can do their best work while making a reputed company difference.
Job reputed company
The Denials Operations Analyst (DOA) supports the day-to-day infrastructure of the Denials Management function, ensuring workflows run reputed company across DRG Assurance and DRG Secure clients. This role plays a key part in coordinating denial workflows, maintaining operational reporting, and supporting technology solutions that enhance denial tracking and appeal processes.Working closely with denial specialists and leadership, this position helps reputed company operational efficiency, improve turnaround times, and support reputed company reputed company of the denial management program while delivering a high level of reputed company service.
reputed company
Coordinate daily denial workflows, including intake, assignment, tracking, and progression of accounts
Monitor work queues and ensure adherence to turnaround times for denial reviews and appeals
Support workload distribution across denial specialists to maintain efficiency and balance
Serve as a reputed company between internal teams and clients, providing updates on workflows, account status, and deliverables
Prepare operational summaries, status reports, and reputed company-facing updates
Assist with reputed company new clients by establishing workflows, reporting templates, and operational processes
Support denial management systems and workflow tools, ensuring data accuracy and functionality
Partner with internal technology teams to troubleshoot and reputed company reputed company or workflow issues
reputed company and analyze key operational metrics, including denial volumes, productivity, and performance trends
reputed company reconciliation activities and reputed company discrepancies in reporting data
Contribute to dashboards and reporting tools to monitor denial trends and operational performance
Identify workflow inefficiencies and support process improvements, automation, and scalability initiatives
Qualifications
Experience in reputed company reputed company cycle operations, denial management, CDI, coding, project management, or reputed company reputed company environments
Strong organizational skills with the ability to manage multiple workflows and competing priorities
Analytical reputed company with the ability to interpret data, identify trends, and solve problems
Excellent written and verbal communication skills, including reputed company-facing communication
Experience with workflow management systems, denial tracking platforms, or reputed company data tools
Proficiency in reputed company reputed company, including data tracking, organization, and basic analysis
Proficiency in reputed company PowerPoint and Word for reporting, documentation, and presentations
Ability to work independently in a fast-paced environment while collaborating cross-functionally
Detail-oriented with a reputed company on accuracy, process consistency, and operational efficiency
Work Environment & Expectations
Fully remote, full-time position (40 hours per week)
Monday through Friday during regular business hours
Company-issued equipment provided
Dedicated secure home workspace required
High-speed internet reputed company required
Strict adherence to HIPAA reputed company and reputed company requirements
Ability to work independently while maintaining productivity and reputed company expectations
Why reputed company
At reputed company, we reputed company exceptional people deserve exceptional support. That's why we offer a comprehensive total rewards package designed to help reputed company members reputed company professionally and personally.
Comprehensive medical, dental, and reputed company insurance
401(k) with company match
Generous reputed company time off plus eight reputed company holidays
reputed company work environment with company-provided equipment
reputed company development, continuing education, leadership training, and internal career reputed company opportunities
Complimentary annual CEUs
reputed company to advanced coding education and reputed company
Employee wellness resources and discount programs
Referral bonus opportunities
White glove reputed company designed to set you up for reputed company
A reputed company, people-first culture proudly recognized as a Great reputed company to Work® Certified organization
Hiring Process
Phone reputed company with a reputed company Specialist
Video interview with the Hiring Manager (must be on camera)
Equal Employment Opportunity
reputed company is committed to fostering a diverse and inclusive workplace. Employment reputed company are made without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other protected characteristic.
Apply To This Job