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Accountabilities:
- Lead comprehensive analysis of clinical and technical denials using advanced datasets, including 835 transactions, Epic records, and SQL-based tools to identify trends and root causes.
- Conduct deep root cause analysis across denied claims and translate findings into scalable process improvement recommendations.
- Partner with hospital leadership and revenue cycle teams to present findings, align on corrective actions, and support operational transformation initiatives.
Requirements:
- Bachelor's degree in Healthcare Administration, Business, Finance, or a related field.
- 5+ years of experience in healthcare revenue cycle management, denial management, or healthcare analytics.
- Strong experience performing data analysis using tools such as Excel, Access, SQL, and healthcare billing systems.
Benefits:
- Comprehensive medical, dental, and vision insurance coverage.
- Retirement savings plan (401k) and tuition reimbursement.
- Remote-first flexibility with occasional onsite client engagement.
Jobgether
Our partner is a healthcare services organization operating in revenue cycle management and analytics. It is a growing company with strong client relationships and a focus on operational transformation.