You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a Denials Analyst responsible for overseeing the daily operations of the denial management team to ensure timely and effective resolution of denied claims. The role focuses on identifying denial trends, improving payer reimbursement outcomes, reducing preventable denials, and ensuring compliance with payer and regulatory requirements.
Key Responsibilities
- Supervise the day-to-day operations of the denial management team.
- Monitor denial work queues and ensure timely resolution of denied claims.
- Assign work and prioritize denial categories based on financial impact and aging.
- Review and analyze denial trends to identify root causes and operational improvements.
- Develop and implement denial prevention strategies.
- Ensure appeals are submitted accurately and within payer deadlines.
- Collaborate with billing, coding, registration, and clinical teams to resolve denial drivers.
- Monitor team productivity and quality metrics.
- Conduct regular staff coaching, training, and performance evaluations.
- Assist with escalation of complex denials and payer disputes.
- Maintain compliance with payer regulations and internal policies.
- Track and report denial metrics, including denial rate, appeal success rate, and recovery totals.
- Participate in process improvement initiatives and revenue cycle optimization.
- Support leadership with reporting and operational insights related to denial performance.
Qualifications
- Minimum 3–5 years of revenue cycle experience.
- Minimum 1–2 years of supervisory or leadership experience preferred.
- Strong experience in denial management, appeals, and payer resolution.
Preferred Skills
- Certified Professional Biller (CPB) preferred but not required.
- Certified Coding Specialist (CCS) preferred but not required.
- Certified Revenue Cycle Representative (CRCR) preferred but not required.
Schedule/Shift
Training 8 AM to 4:30 PM first week. Flexibility to work between 7 AM to 6 PM Monday-Friday (8-hour shift).
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Required Employment / Compliance Language
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.