Job Description
Beloit Health System is looking to add a Senior Clinical Denials Management Analyst to our Revenue Cycle Team! Shift: 1st Schedule: 6a - 6p (8-hours shifts within this window) Hours per week: 40 Benefits Status: Eligible Department: Beloit Clinic Insurance/Billing The Senior Clinical Denials Management Analyst leads advanced analysis, resolution, and prevention of healthcare claim denials to maxim
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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