What are the responsibilities and job description for the Denials Analyst position at GTT, LLC?
Contract Duration 13 weeks
Pay rate up to $25/hr
Job Description:
The Denials Analyst is responsible for researching and resolving claim denials, ADR requests, and certs, submitting and tracking appeals, noting trends and providing monthly reports.
Respond to audit requests (including RAC) from payors.
Maintains a Library of Payer reference material regarding requirement for pre authorization, medical necessity and documentation requirements.
The Denials Analyst works with the Revenue Cycle stakeholders (e.g. Admitting, Coding, Provider Liaisons, etc.) to provide information related to denials and opportunities for future denials.
Required Education:
High School diploma or equivalent
Preferred Education:
Associate degree
Preferred Licensure/Certification:
Certified coder or currently enrolled in a coding program
Required Experience:
Minimum of two years of Professional Billing with an emphasis in Managed Care denial follow up and appeals processing Prior hospital billing experience is a plus.
Strong Analytical skills, Proficient in Microsoft Windows with an emphasis on Excel.
Ability to prioritize and coordinate workflow and attention to detail.
Knowledge of CPT, HCPC and ICD 10 coding requirements with emphasis on modifiers and diagnosis association.
Working knowledge of LCD's, NCCI and MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims, authorization and documentation requirements.
#gtthealth
#LI-DNP
24-06692
Pay rate up to $25/hr
Job Description:
The Denials Analyst is responsible for researching and resolving claim denials, ADR requests, and certs, submitting and tracking appeals, noting trends and providing monthly reports.
Respond to audit requests (including RAC) from payors.
Maintains a Library of Payer reference material regarding requirement for pre authorization, medical necessity and documentation requirements.
The Denials Analyst works with the Revenue Cycle stakeholders (e.g. Admitting, Coding, Provider Liaisons, etc.) to provide information related to denials and opportunities for future denials.
Required Education:
High School diploma or equivalent
Preferred Education:
Associate degree
Preferred Licensure/Certification:
Certified coder or currently enrolled in a coding program
Required Experience:
Minimum of two years of Professional Billing with an emphasis in Managed Care denial follow up and appeals processing Prior hospital billing experience is a plus.
Strong Analytical skills, Proficient in Microsoft Windows with an emphasis on Excel.
Ability to prioritize and coordinate workflow and attention to detail.
Knowledge of CPT, HCPC and ICD 10 coding requirements with emphasis on modifiers and diagnosis association.
Working knowledge of LCD's, NCCI and MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims, authorization and documentation requirements.
#gtthealth
#LI-DNP
24-06692
Salary : $25
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