Denial Prevention Process Improvement Advisor
Compensation
$70K - 90K a year
Responsibilities
Lead deep dive analysis on clinical and technical denials, perform root cause analysis, guide operations assessments, liaise with clients, and train staff on denial trends.
Requirements
Bachelor's degree in healthcare or related field, project work experience, intermediate Excel and Access skills, project management and data analytics expertise, and preferred certifications like LEAN Six Sigma Black Belt or CRCR.
Full Description
Description: • Lead the performance of deep dive analysis on clinical and technical denials • Apply high level problem-solving skills to perform root cause analysis on denied accounts • Use process improvement expertise to guide operations assessments and preparations of policies • Attend monthly denial prevention committee meetings and liaise with clients about revenue cycle denials • Create materials and train denial prevention staff on trends and issues Requirements: • 4 year/ Bachelors Degree in Healthcare administration, Business or related discipline • Project Work, Intermediate Excel & Access Skills • Project Management, Data Analytics • Certified Specialist Managed Care (CSMC); LEAN Six Sigma Black Belt Certified Revenue Cycle Representative: (CRCR) preferred Benefits: • Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career Advancement
This job posting was last updated on 10/12/2025
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