Resolution Analyst, Denials

The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible for facilitating payment review recovery efforts for denied and underpaid accounts for assigned clients, thereby increasing the departments revenue. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information. Key responsibilities include reviewing accounts, using payment documentation to determine reimbursement, reviewing hospital contracts, acquiring medical records, and conducting telephone follow-ups with payers. Must demonstrate strong ability to review client/payer contracts to identify complex underpayments.