Job Description
Description The Sr. Analyst provides RCM analytics for the practice managers and staff, including payer trends for edits, rejects and denials of claims. Responsibilities Provide reporting analysis and support to the RCM National Director to assess training and process needs in the markets and practices Review and analyze claim denials and trending: educate operations on root causes Review Key Perf
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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