Denials and AR Analyst

Job Summary

A company is looking for a Denials & AR Senior Analyst to manage assigned accounts and resolve claim denials.

Key Responsibilities

• Investigate and analyze claims to identify denial reasons
• Draft complex appeals and letters to insurance companies
• Review EOBs and apply proper payments to accounts for billing

Required Qualifications

• Experience in Denials or Accounts Receivable in Hospital or Physician claims
• Experience working in a production-based environment
• Experience in writing appeal letters to insurance companies
• Understanding of DRG, per diem, and case rates
• Knowledge of provider-specific reimbursement methodologies and payment policies