Denials Inflow Prevention Associate
Core
Identify, analyze, and address root causes of claim denials to improve operational performance and client outcomes in healthcare revenue cycle management.
Role type
Senior IC revenue cycle operations analyst (denials prevention)
Builds
Scalable process improvements, automation initiatives, and product enhancements for healthcare clients
Domain
Healthcare + Revenue Cycle Management
Deliverable
dashboards & analysis
Required skills
Data analysis, project leadership, stakeholder collaboration, business case development, performance monitoring, Microsoft Office Suite proficiency
Preferred skills
Lean Six Sigma, Agile methodologies, SQL
Responsibilities
Analyze quantitative and qualitative data to identify root causes of claim denials; Lead cross-functional initiatives to improve denial prevention and operational efficiency; Design and implement scalable process improvements emphasizing automation; Develop business cases and executive-ready presentations; Partner with internal and external stakeholders to optimize service delivery; Monitor performance trends and recommend solutions to enhance operational effectiveness.