Denials Management Analyst-269

Colquittregional; Moultrie (GA); On-site; USD 45,000 - 65,000; Full time

Job summary

Colquitt Regional Health System in Moultrie, GA is seeking a knowledgeable candidate for managing the denial and appeal process in patient financial services.

The role requires a strong understanding of medical terminologies and billing processes, along with at least two years of relevant experience. The ideal candidate will assist in audits, research root causes of denials, and communicate effectively with both internal and external clients.

Qualifications

• Minimum of two years in healthcare revenue cycle, billing and collections.
• Experience in processing payments and claim-related appeals.

Responsibilities

• Handle denial and appeal process with third-party payers.
• Conduct necessary research for the appeals process.
• Assist with audits and maintain communication with clients.

Skills

Understanding of medical and insurance terminologies

CPT and ICD coding systems

Billing forms familiarity

Job description

Colquitt Regional Health System Patient Financial, Moultrie, GA 31768, USA

Description

Handles the end-to-end denial and appeal process, including the receiving, analyzing, recording, tracking, managing, and/or resolving appeals with third‑party payers in a timely manner.

Carries out appropriate research and analysis to help with the appeals process and stay informed with best practices and policy changes. Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials.

Assists with cart audits as necessary.

Understands all ancillary department‑charging functions.

Understands medical records, hospital bills and billing, and chargemaster.

Assists colleagues and participates in constructive interactions. Maintains professional and prompt communication with both internal and external clients.

Qualifications

Experience

Required

Understanding of medical and insurance terminologies, CPT and ICD codingsystems, and familiarity with billing forms.

At least two years of experience in healthcare revenue cycle, billing and collections, processing payments, claim‑related appeal writing, or denials management (denialsmanagement experience preferred).

Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.