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Patient Access Analyst
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- Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope.
- Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial trends and developes remediation plans and/or workflow resolutions
- Analyze CPT codes with payer policy change to ensure teams stay abreast to all relevant payer policy updates and pre authorization standards
- Collaborate with Revenue Cycle University to develop annual CLN's and quality assurance processes for Insurance Specialists
- Develops and monitor EPIC reports and work queues to ensure timely response to denied cases and appeals and provides follow-up on cases until resolution has been achieved
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