EX Squared is hiring an Enterprise Denial Analyst (Remote Florida or Georgia)

Jobgether is hiring an Enterprise Denial Analyst to review and manage technical denial claims, submit appeals, and help optimize the financial outcomes of hospital-based revenue cycles. You'll perform root cause analyses, identify trends in payer practices, and collaborate with cross-functional teams to ensure timely resolution and process improvement.

What You'll Do

• Review, analyze, and process technical denial claims, submitting appeals or reconsiderations as necessary.
• Conduct root cause analyses of denied payments by reviewing patient stays, treatment records, payer contracts, and historical denials.
• Identify trends in payer requirements and emerging issues to proactively improve processes.
• Maintain positive relationships with third-party payers, addressing inquiries, complaints, and correspondence.
• Escalate atypical denial issues in collaboration with management and the managed care department to ensure resolution.
• Support continuous improvement initiatives and help streamline denial management workflows.

What We're Looking For

• High school diploma or equivalent.
• Minimum of 4 years of experience in coding, billing, insurance follow-up, collections, or denial management within a hospital or clinical setting.
• Knowledge of hospital billing and reimbursement processes, denials and appeals procedures, third-party payer contracts, HIPAA guidelines, and federal/state healthcare regulations.
• Strong critical thinking, analytical, and problem-solving skills with high attention to detail.
• Excellent organizational, time management, and prioritization abilities.
• Strong written and verbal communication skills.
• Proficiency in Microsoft Office applications (Outlook, Word, Excel) and comfort with electronic workflows.
• Ability to read and interpret EOBs (Explanation of Benefits).

Nice to Have

• Associate’s degree or higher in a healthcare or business-related field.

Technical Stack

• Microsoft Office (Outlook, Word, Excel)

Team & Environment

Collaborate with cross-functional teams and management.

Benefits & Compensation

• Competitive salary and comprehensive benefits package.
• Flexible remote work options for Florida and Georgia-based employees.
• Opportunities to contribute to process improvement initiatives and financial optimization.
• Collaborative, professional work environment supporting learning and development.
• Direct impact on organizational financial integrity and operational efficiency.

Work Mode

This is a remote position open to candidates located in Florida or Georgia.

Jobgether provides a collaborative, professional work environment supporting learning and development.