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Denial Analyst


Posted on October 10, 2019

2 - 4 years Dubai - United Arab Emirates

Any Graduation, Other(Other), Bachelor of Technology/Engineering(Any, Other Engineering). Any Nationality

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Job Description

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Evaluates and ensures that all claims denied or underpaid inappropriately by payors are identified, appealed and reversed
Works closely with appropriate departments/areas e.g. HIM/coding and medical team to review and obtain medical documentation required to facilitate denial appeals process
Proactively works with multidisciplinary teams within KCH to develop procedures to reduce the number of denials received through reporting of denials and education of denial trends.
Works with management on payor contract interpretation, updating and distribution of correspondence to hospital staff as required.
Compiles, analyzes and reports on data related to underpayments, denials, revenue opportunities and revenue leakage 
Categorizes denials based on root cause findings and distributes reports and metrics to applicable management and teams
Serves as a resource when necessary for billing and reimbursement issues
Continuously reviews applicable regulations, updates and maintains current knowledge
Performs special audit requests for denials and assists in the writing of appeal letters.
To coordinate and co-operate with colleagues of the same department and other related departments for smooth running of Insurance operations.
Maintains strict confidentiality related to medical records and other data.
Support the team in medical coding and billing when required
• Performs other related duties when requested by management which may be inclusive, but not listed in
the job description

Finance / Treasury

Desired Candidate Profile

Bachelor Degree Para Medical or Accounting
or in related field.
Minimum of 3 years of experience, out of
which 2 years should be in denial analysis and resubmission team in a hospital
or a Day Surgical Centre
Coding Certification from AHIMA or AAPC
Experience in managed care contracts,
reconciling patient accounts, and balancing payment transactions against
contract rates and terms is strongly desired
Good command of written and spoken English
Proficient in Microsoft Office applications
Good analytical, execution, problem solving
and decision-making skills
Flexible and able to work under pressure
Critical thinker with demonstrated ability to
perform root cause analysis, problem solve, prepare and implement action plans
and lead improvement initiatives
Ability to read and interpret medical charts
and related documentation
Keen attention to detail with ability to spot
trends and proactively reduce denials
Excellent interpersonal skills and experience
interacting with clinicians and financial personnel


Denial Analyst


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