Denials & Appeals Analyst - Tuition & Loan Support

Tennova Healthcare- North Knoxville Medical Center; United States; On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Comprehensive Health Coverage

401(k) with matching

Student Loan Support

Educational Tuition Assistance

Competitive Pay & Full Benefits

Job summary

The Denials & Appeals Coordinator at Community Health Systems is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement. This role demands deep knowledge of payer guidelines, coding and claims systems to navigate complex denial cases and drive accurate reimbursements.

You'll monitor queues across Artiva, HMS, Hyland, and BARRT, analyze denials, file appeals, and document activity. Strong communication with payers and internal teams is essential.

Qualifications

• H.S. Diploma or GED required.
• Associate Degree or higher in Health Information Management preferred.
• 1-3 years of experience in medical billing, revenue cycle, or claims denials and appeals processing required.
• Prior experience with revenue cycle processes in a hospital or physician office setting required.

Responsibilities

• Monitors assigned queues across systems to ensure follow-up dates are current.
• Analyzes denials to determine actions, completes appeals, or routes for clinical appeals as needed.
• Files and monitors appeals to resolve payer denials, documenting activity and maintaining records.
• Maintains up-to-date understanding of payer guidelines and requirements related to denials and appeals.
• Processes BARRT requests, reviews RAC/Government Audit accounts, and completes rebills and adjustments.
• Identifies trends in denials to suggest improvements and reduce future claim issues, providing data as needed.
• Performs other duties as assigned and maintains regular attendance.
• Complies with all policies and standards.

Skills

Payer guidelines knowledge

Medical billing expertise

Analytical skills

Communication skills

Time management

Education

Associate Degree in Health Information Management

Bachelor's degree preferred

Tools

Artiva

HMS

Hyland

BARRT

Job description

The Denials & Appeals Coordinator at Community Health Systems is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement. This role demands deep knowledge of payer guidelines, coding and claims systems to navigate complex denial cases and drive accurate reimbursements.

You'll monitor queues across Artiva, HMS, Hyland, and BARRT, analyze denials, file appeals, and document activity. Strong communication with payers and internal teams is essential.