Financial Analyst

Company DescriptionAny hospital(s) needing staff to assist in addressing denied claims and support the Appeal Writers. Role DescriptionThis is a full-time remote role as a Denials and Appeals Analyst. The primary responsibilities include reviewing and analyzing insurance claim denials, identifying root causes, preparing and submitting appeals, and ensuring timely reimbursement. The Analyst will also work with internal teams to track denials and resolve outstanding payer issues, ensuring compliance with payer regulations and maintaining accurate documentation of all actions taken. Collaboration with stakeholders to optimize the claims and appeals process is a key aspect of this role.QualificationsProficiency in insurance claim review, analysis, and appeals processesStrong analytical and problem-solving skills for identifying trends and determining resolution strategiesKnowledge of payer guidelines, medical billing, and healthcare reimbursement processesExcellent communication and writing skills for drafting professional appeals and interacting with payersProficiency with relevant software applications (e.g., claims management tools, Excel, and electronic health records)Ability to work independently in a remote environment and manage multiple tasks effectivelyExperience in healthcare claims, billing, coding, or a related field is highly desirableBachelor’s degree in healthcare administration, business, or a related field is preferred