Denials Management Analyst - Remote After Training

CO500 Nebraska Methodist Health System; United States; Hybride; USD 45 000 - 65 000; Plein temps

Résumé du poste

Nebraska Methodist Health System is seeking a Denials Analyst to review denials for commercial and government payers, escalating appeals to maximize reimbursement in line with payer contracts and CMS regulations.

The role analyzes contract language, performs follow-up, and provides contract/payor recommendations. It also trains staff on contracts and reimbursement and participates in payer meetings. Hybrid work after training, Omaha, NE.

Qualifications

• Education and experience required for medical billing and denials review.
• Experience with payer contracts and CMS regulations desired.
• Strong Excel/Word skills and knowledge of medical terminology.

Responsabilités

• Review denials for commercial/government payers and escalate appeals as needed.
• Analyze contract language and payer policies to maximize reimbursement.
• Maintain follow-up and reporting to ensure timely reimbursement.
• Respond to inquiries and provide contract/payor recommendations.
• Train staff on contracts and reimbursement processes.

Connaissances

Microsoft Office

10 key data entry

Verbal and written communication

Medical terminology

Payer websites

ICD CPT coding

Confidentiality

Formation

High School Diploma or GED

College coursework in accounting / healthcare

Outils

UB and HCFA billing formats

Description du poste

Nebraska Methodist Health System is seeking a Denials Analyst to review denials for commercial and government payers, escalating appeals to maximize reimbursement in line with payer contracts and CMS regulations.

The role analyzes contract language, performs follow-up, and provides contract/payor recommendations. It also trains staff on contracts and reimbursement and participates in payer meetings. Hybrid work after training, Omaha, NE.