Denial Prevention Analyst

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Key Responsibilities

• Trend Analysis: Analyze denial trends and patterns to identify root causes and implement proactive measures to prevent future denials.
• Data Collection: Collect, compile, and analyze data from various sources to generate comprehensive reports on denial rates, reasons, and impacts.
• Monthly Reporting: Present detailed monthly reports and insights to hospital and physician stakeholders, highlighting key findings and recommendations for improvement.
• Stakeholder Collaboration: Work closely with hospital and physician staff to understand their needs, address concerns, and provide targeted solutions to minimize denials.
• Process Improvement: Develop and implement process improvements to enhance efficiency and reduce the likelihood of denials.
• Training and Education: Provide training and education to staff on best practices for denial prevention and management.
• Compliance: Ensure compliance with all relevant regulations, guidelines, and standards related to claims and denials.
• Documentation: Maintain accurate and up-to-date documentation of denial cases, interventions, and outcomes.
• Performance Metrics: Monitor and report on key performance indicators (KPIs) related to denial prevention efforts.

Qualifications

• Bachelor’s degree in healthcare administration, business administration, finance, or a related field.
• Minimum of 3 years of experience in denial management, revenue cycle analysis, or a related field within a healthcare setting.
• Strong analytical and problem-solving skills
• Excellent communication and presentation abilities
• Proficiency in data analysis tools and software
• Knowledge of healthcare billing, coding, and reimbursement processes
• Attention to detail and accuracy
• Ability to work independently and collaboratively within a team
• Certification in healthcare compliance, coding, or revenue cycle management is a plus.

Non-STI

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role up to $59,000.00. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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