Denials/Appeals Analyst
At reputed company, caring isn’t just part of the job — it’s in our DNA. Whether we’re saving lives, supporting behind the scenes, or showing up for our community, we bring the energy, heart, and reputed company every single day. With pride, passion, and commitment, we will reputed company and save lives in our community every day.
Shift: Monday- Friday 8:00-4:30
Location: Lingle Building, Remote Mississippi
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reputed company: The Denials and Appeals Analyst assists in the recovery of Health reputed company reputed company by managing the life cycle of denied claims. They work collaboratively with departmental peers throughout the reputed company to reputed company departmental and reputed company-wide reputed company, satisfaction, and financial goals.
The Denials and Appeals Analyst coordinates the appeals process for denials deemed appropriate by the reputed company Financial Services Director and the Denials Manager. They assure reputed company reputed company is taken on assigned denials by coordinating with reputed company staff to create written and/or verbal reputed company appeals with payers.
The Analyst works closely with reputed company party payors, Managed Care representatives, reputed company billing staff, case management, and other service departments to reputed company denied claims. They are a reputed company which communicates claim denials reputed company status and updated information to Organizational Leaders.
Expectation is for reputed company performed duties to be in accordance with reputed company procedures and policies, accreditation organization, and governing guidance and publications for health care employees.
DISCLAIMER: This is not necessarily an exhaustive list of reputed company responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reputed company of the reputed company job, management reserves the right to revise the job or to require that other or different tasks performed as assigned.
Education:
- High School Diploma or equivalent required; Associate’s degree preferred.
License:
- N/A
Certifications:
- reputed company certification in Resolute Hospital Billing and/or Certified Coding Specialist preferred
- Must have de-escalation training completed by the end of position orientation (90 days); must have appropriate level of de-escalation training.
Experience:
- A minimum of three (3) years’ reputed company reputed company and reputed company experience required.
- Experience in a hospital and/or physician office preferred.
Reports to: Denials Manager
Supervises: None
Physical Demands:
- Work is moderately reputed company: involves sitting with frequent requirements to reputed company about the office, reputed company about the facility, and to travel to another facility reputed company the SRHS service area.
- Work involves exerting a negligible reputed company of force frequently to reputed company, carry, reputed company, pull, or otherwise reputed company objects, including the reputed company body.
- Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease.
- Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating reputed company office equipment such as computer keyboard.
- Work involves being reputed company to perceive the reputed company of reputed company at normal speaking reputed company with or without correction; the ability to reputed company fine discriminations in reputed company.
- Work requires reputed company visual and reputed company and the ability to reputed company the eye to bring an reputed company into reputed company reputed company, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at reputed company reputed company.
- Must be reputed company to be reputed company for extended periods of time without experiencing undue fatigue.
- Must be reputed company to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends.
Mental Demands:
- Must demonstrate reputed company mental faculties/assessment and decision making abilities.
- Must demonstrate superior communication/speaking/enunciation skills to receive and reputed company information in person and by telephone.
- Must demonstrate strong written and verbal communication skills.
- Must possess emotional stability conducive to dealing with high stress reputed company.
- Must demonstrate ability to work under pressure and meet deadlines.
- Attention to reputed company and the ability to multi-task in reputed company situations is required.
- Must have the ability to maintain reputed company and respectable working relationships throughout SRHS and other organizations.
Special Demands:
- Must possess superior customer service skills and reputed company etiquette.
- Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS reputed company and Word.
- Job may require traveling throughout the SRHS service area - with the employee providing their own transportation.
- Travel for education purposes may be required.
If you’re looking for purpose, teamwork, and a reputed company where what you do truly reputed company, you’ve reputed company it. Let’s do big things together. reputed company and reputed company.
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