AdventHealth · 22 hours ago
Denials Management Prevention Analyst
AdventHealth is a community-focused healthcare organization dedicated to uplifting individuals in body, mind, and spirit. The Denials Management Prevention Analyst will collect and analyze data related to denials management operations, communicate insights to the denials management committee, and review managed care contracts to prevent claim underpayments.
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Responsibilities
Collects, analyzes, and reports data for insights into denials management operations and special prevention projects
Communicates and presents insights and recommendations to the denials management committee on prevention activities
Coordinates material and provides updates for key denials prevention program documentation
Reviews managed care contracts and compares them against patient claims to identify and prevent claim underpayments
Provides feedback to managed care on identified underpayment issues for remediation with the payor
Qualification
Required
High School Grad or Equiv [Required]
5+ years related experience [Required]
Strong keyboard and 10 key skills
Proficiency in Microsoft Suite applications, specifically Excel and Word applications, as well as Outlook
Strong quantitative, analytical and organization skills
Strong problem solving skills
Proficiency in data warehousing and business intelligence platforms
Preferred
Experience in Billing, A/R follow up and denials management functions [Preferred]
Prior reporting and analytics background [Preferred]
Benefits
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Company
AdventHealth
AdventHealth is a nonprofit healthcare system providing whole-person care through hospitals, clinics, and virtual services.
Funding
Current Stage
Late StageTotal Funding
$0.25MKey Investors
Florida Blue FoundationKentucky Opioid Abatement Advisory Commission
2025-09-15Grant
2023-10-05Grant· $0.25M
Recent News
2026-01-24
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