Denials Recovery Analyst

OpenTalent; United States; On-site; USD 55,000 - 76,000; Full time

Benefits offered by this job

Paid training

Medical, dental, vision

12 paid holidays

401(k) matching

Career growth opportunities

Job summary

OpenTalent is seeking a Denials Recovery Analyst to review managed care contracts and healthcare claims to identify underpayments for assigned clients. You will research payor policies, examine claims, calculate reimbursements, and contact insurance companies to resolve denials, while documenting outcomes and maintaining client communications.

This role requires strong attention to detail, collaboration with payors, and timely submission of appeal documentation as part of a broader revenue-cycle

Qualifications

• Minimum 2 years of insurance billing, denial management and/or utilization review experience.
• Experience reviewing and analyzing hospital claims.
• Knowledge of healthcare codes including CPT, ICD-9, ICD-10, HCPC, DRG.
• High school diploma or equivalent.

Responsibilities

• Research payor policies, examine claims, calculate reimbursement and contact insurance companies to resolve denials.
• Document information, prepare correspondence, and maintain regular contact with clients and payors.

Skills

Insurance billing

Denial management

Utilization review

Customer service

Communication skills

Education

High school diploma

Job description

Role Overview

As a Denials Recovery Analyst, you will be responsible for reviewing managed care contracts and comparing them against healthcare claims to identify underpayments for assigned clients. You will work with various reports and documentation to evaluate and appeal denied claims, and communicate with insurance companies and clients to resolve issues.

What You Will Do

Your day-to-day responsibilities will include researching payor policies, examining claims, calculating reimbursement, and contacting insurance companies to resolve denials. You will also document information, prepare correspondence, and maintain regular contact with clients and payors.

Why It Might Be a Fit

We are looking for someone with strong customer service skills, excellent communication skills, and a commitment to company values. You will have opportunities for career growth and will be part of a collaborative and diverse culture with a great work-life balance.

Requirements

• Minimum 2 years of insurance billing, denial management and/or utilization review experience
• Experience reviewing and analyzing hospital claims
• Knowledge of healthcare codes including CPT, ICD-9, ICD-10, HCPC, DRG
• High school diploma or equivalent

Benefits

• Paid training and incentive plans
• Medical, dental, vision, and life insurance benefits from the first day of employment
• 12 paid holidays and generous paid time off
• 401(k) matching
• Career growth opportunities