Job Description
The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending denials and result out of multiple systems. The analyst will identify and trend root causes and report out findings as well as assist in mapping out process improvement opportunities.
The analyst will coordinate payor denials and audit activities to ensure timely response for the processing of all payor denials, audit requests and appeals. The analyst will communicate and coordinate with various individuals/distributions and assist with monitoring of the day-to-day activities related to claims denials and audit reviews. Responsibilities include collecting/analyzing data, managing Epic work queues, researching payer fee schedules, and coordinating payor denial and audit activities. The analyst will also maintain the healthcare tracking tool/application. Strong communication skills and a commitment to delivering the highest level of quality work are required.
About Shriners Children’s
Shriners Children’s is an organization that respects, supports, and values each other.