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CorroHealth is a leader in clinically led healthcare analytics, offering solutions that streamline operations, enhance revenue integrity, and improve patient ca
Analyst, Denials Management
Location
United States
Posted
116 days ago
Salary
0
Seniority
Mid Level
Job Description
Analyst, Denials Management
CorroHealth
• The Analyst, Denials Management plays a critical role in supporting Denials Management and revenue integrity functions by reviewing, analyzing, and estimating reimbursement across clinical, technical, and DRG‑related denials. • This position conducts daily client transaction reviews, calculates expected payments and Corro reimbursement, and partners closely with the invoicing team to ensure accurate and timely invoicing. • The role also identifies payer and referral trends, monitors denial patterns, supports appeal strategies in collaboration with clinical and coding teams, and develops monthly and quarterly forecasts to guide operational and financial decision‑making. • Strong analytical skills, advanced Excel capabilities, and experience with DRG downgrades and denials workflows are essential to success in this role.
Job Requirements
- 2–5 years in revenue cycle, denials management, reimbursement analysis, payer operations, or related healthcare finance role.
- Direct experience with DRG downgrades and denial categories (clinical & technical) and how they impact reimbursement.
- Proficiency in Microsoft Excel (vlookups/xlookups, index/match, pivot tables, text functions, basic formulas, conditional logic; light macros a plus).
- Experience reconciling daily transaction files and working with internal case/account systems (experience with Prism and Escort strongly preferred).
- Familiarity with invoicing/billing concepts (EOB/ERA basics, adjustments, takebacks, net vs gross).
- Ability to build monthly/quarterly forecasts and explain assumptions and variance drivers.
- Strong attention to detail, data validation mindset, and clear written communication.
Benefits
- Professional development
- Environment that cultivates professional development and personal growth
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