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Job summary
A leading healthcare organization is seeking an experienced Professional Billing Denials & Appeals Analyst to join their Revenue Cycle team. This remote role centers on investigating claim denials, performing root cause analysis, and writing non-clinical appeals. Ideal candidates will have 3–5 years of EPIC Professional Billing experience, strong analytical skills, and a deep understanding of payer policies. The organization offers a full-time position with a target productivity standard of 7 accounts per hour after a ramp-up period.
Qualifications
3–5 years of EPIC Professional Billing (PB) experience required.
Strong root cause analysis experience with payer policies.
Experience writing payer appeals and familiarity with denial trends.
Responsibilities
Investigate claim denials and identify root causes.
Draft and submit non-clinical appeal letters to payers.
Maintain productivity standards and track metrics.
Skills
EPIC Professional Billing experience
Root cause analysis
Payer appeal writing
Knowledge of Medicare and Medicaid rules
Tools
Jabber for payer communication
Payer portals
Job description
A leading healthcare organization is seeking an experienced Professional Billing Denials & Appeals Analyst to join their Revenue Cycle team. This remote role centers on investigating claim denials, performing root cause analysis, and writing non-clinical appeals. Ideal candidates will have 3–5 years of EPIC Professional Billing experience, strong analytical skills, and a deep understanding of payer policies. The organization offers a full-time position with a target productivity standard of 7 accounts per hour after a ramp-up period.