Denials Prevention Revenue Cycle Analyst

Responsibilities

• Performing in-depth analysis of claims, payments, and account reconciliations to ensure accuracy and compliance across the revenue cycle.
• Identifying trends in underpayments, denials, and revenue leakage.
• Evaluating root causes and recommending corrective actions to improve financial performance.
• Reviewing and validating claim and payment data.
• Interpreting contract reimbursement terms.
• Preparing detailed reports.
• Working assigned underpayment projects.
• Collaborating with cross-functional teams, escalating complex issues, and supporting continuous improvement initiatives to optimize processes and reduce cycle times.

Requirements

• 1 to 3 Years experience
• Demonstrated advanced usage of AI and the management of teams using AI to lean into process and technological improvements, to include the exploration, experimentation, and application of AI.
• Bachelor’s Degree or Equivalent Experience