Denial Analyst - Revenue Integrity - Full Time - Days

Job Description

Job Description

About Montrose Regional Health :

• As the leading healthcare in the Uncompahgre Valley, MRH offers patients personalized and professional healthcare backed by the latest technology experience, and partnership, we continue to evolve and broaden our comprehensive services in 23-specialties and sub- specialties. We are the hospital, the healthcare resource, and the employer of choice in our communities. Montrose Regional Health is a not for-profit accredited by the Joint Commission meeting the highest standards of healthcare.

About the "Department"

About The Career :

The Clinical Denial Analyst is a key contributor within the interdisciplinary Denial Management Program and is responsible for completing, tracking, and reporting clinical denial review determinations. This individual will combine clinical, business, and regulatory knowledge and skill to reduce financial risk and exposure caused by concurrent and retrospective denials. The Clinical Denial Analyst is considered a clinical expert in Denial Management and ensures all medical necessity denials are accurately worked from a clinical perspective and appropriately appealed to secure maximum reimbursement and minimize organizational write-offs.

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