Clinical Denial Analyst

Welcome to Deaconess Health System, where we strive to provide the highest quality of care to our patients. We are currently seeking a highly motivated and detail-oriented individual to join our team as a Clinical Denial Analyst. In this role, you will play a crucial role in identifying and resolving clinical denials, ensuring timely and accurate reimbursement for the services we provide. As a member of our team, you will have the opportunity to make a meaningful impact on our organization and the lives of our patients. We are looking for a candidate with strong analytical skills, excellent communication abilities, and a passion for problem-solving. If you are ready to join a dynamic and dedicated team, we encourage you to apply for this exciting opportunity.

1. Analyze clinical denials and determine root causes.
2. Collaborate with various departments to gather necessary information and documentation.
3. Identify trends in denials and develop strategies to prevent future occurrences.
4. Utilize clinical knowledge to review and appeal denied claims.
5. Communicate with insurance companies and other third party payers to resolve denials.
6. Maintain accurate records of all denials, appeals, and resolutions.
7. Work closely with healthcare providers to ensure accurate and timely documentation.
8. Provide education and training to staff regarding denial prevention and resolution.
9. Participate in meetings and discussions regarding denial management strategies.
10. Stay updated on industry changes and regulations related to clinical denials.
11. Collaborate with billing and coding teams to ensure accurate coding and billing practices.
12. Monitor and track denials to identify areas for improvement.
13. Provide regular reports and analysis on denial trends and outcomes.
14. Maintain confidentiality and adhere to HIPAA regulations.
15. Uphold the mission and values of Deaconess Health System in all job responsibilities.

According to JobzMall, the average salary range for a Clinical Denial Analyst in Newburgh, IN 47630, USA is $60,000-$80,000 per year. However, this can vary depending on factors such as experience, education, and specific job responsibilities within the role.

Deaconess was founded in 1892 by a group of Protestant ministers and laymen who felt called to care for the sick. More than 130 years later, Deaconess Health System continues to provide high-quality health care with a compassionate spirit, just as our founders envisioned. Deaconess Health System is the premier provider of health care services to 35 counties in three states (IN, IL, and KY). The system consists of eleven hospitals located in southern Indiana: Deaconess Midtown Hospital, Deaconess Gateway Hospital, The Women’s Hospital, The Heart Hospital, The Orthopedic and Neuroscience Hospital, Deaconess Cross Pointe, Deaconess Gibson Hospital, Deaconess Henderson Hospital, Deaconess Union County Hospital, Encompass Health Deaconess Rehabilitation Hospital, and the Linda E. White Hospice House.