Revenue Cycle Denial and Underpayment Analyst Senior (FT/Days)

Centra Health - Lynchburg, VA

Full-time

Lynchburg, VA

Hospitals

About the position

The Senior Revenue Cycle Denial and Underpayment Analyst is responsible for analyzing and trending denial and underpayment data to recover revenue for Centra. This role involves comprehensive analysis across various service lines to identify trends, appeal denials, and collaborate with managed care to address payer contract violations.

Responsibilities

• Compiles and communicates trends and areas of opportunity related to claim edits, rejections, and denials.
• Analyze and prepare metrics for presentation and investigation of trends.
• Collaborates with vendors and IT for system optimization and resolution of identified issues and trends.
• Presents and conducts work groups for trend resolutions and process improvements.
• Identify and resolve denials and underpayments.
• Serves as a resource for staff and payers seeking to resolve questions and/or concerns related to underpayments and denials.
• Performs special projects as needed and assigned.
• Performs other duties as assigned.

Requirements

• High School Diploma
• Minimum five (5) years' experience in data analysis, denials, and/or healthcare accounts receivable.
• Previous experience leading, conducting, and interacting with all levels of staff.
• Fundamental understanding and comprehension of denial and underpayment processes.

Nice-to-haves

• Certified Coder
• Associate Degree