Resolution Analyst Denials Remote EnableComp
Overview
Resolution Analyst works with clients to resolve denials and underpayments. They handle PHI securely. This role drives revenue recovery and client satisfaction.
What You'll Do9
- 1Review and appeal denied claims using EnableComp tools
- 2Collect cash payments from insurers for underpaid accounts
- 3Gather medical records to support complex appeals
- 4Follow up with payers via phone to resolve receivables
- 5Analyze contracts to secure payments
- 6Conduct research on payer policies and requirements
- 7Perform daily tasks like data entry and report generation
- 8Maintain accurate documentation and communication
- 9Collaborate with cross-functional teams to improve processes
Requirements11
- 1High School Diploma or GED
- 2Associates or Bachelor degree preferred
- 35+ years in healthcare billing or collections
- 41+ year client-facing experience
- 5Intermediate knowledge of insurance claims and coding
- 6Strong Microsoft Office skills
- 7Understanding of revenue cycle fundamentals
- 8Familiarity with HMO PPO IPA capitation terms
- 9Ability to read EOB and HCFA 1500 forms
- 10Self-starter with independent work capability
- 11Excellent written and verbal communication
Salary Insight
Salary not disclosed in listing
Location
Required Skills
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