Claims Analyst

Job Summary:

We are seeking a detail-oriented and experienced Insurance Denials Management Specialist to join our team, specializing in hospice claims. The ideal candidate will have a strong background in analyzing, appealing, and resolving insurance denials to optimize reimbursement and ensure compliance with hospice care billing regulations.

Key Responsibilities:

• Review, analyze, and manage insurance claim denials specifically related to hospice care services.
• Identify root causes of claim denials and develop effective strategies for appeal and resolution.
• Prepare and submit timely and accurate appeals to insurance payers, including Medicare, Medicaid, and private insurers.
• Collaborate closely with billing, clinical, and coding teams to ensure accurate documentation and coding compliance for hospice claims.
• Monitor denial trends and report findings to management to improve revenue cycle processes.