Analyst, Denials Management

CorroHealth helps clients exceed financial health goals by providing scalable solutions and clinical expertise across the reimbursement cycle. They focus on building long-term careers and professional development.

The Analyst, Denials Management supports denials management and revenue integrity by reviewing, analyzing, and estimating reimbursement related to clinical, technical, and DRG denials. Responsibilities include daily client transaction review, expected payment calculations, invoicing collaboration, payer and referral trend identification, denial pattern monitoring, appeal strategy support, and forecasting.

Key tasks:

• Reconcile daily client transaction files
• Estimate reimbursements and invoiceable amounts
• Review clinical and technical denials including DRG downgrades
• Coordinate escalations for medical necessity, coding edits, DRG validation
• Create monthly and quarterly cash/reimbursement forecasts
• Monitor payer behavior and identify trends
• Conduct data validation and process improvement

Required experience:

• 2–5 years in revenue cycle, denials management, reimbursement analysis, or related healthcare finance role
• Experience with DRG downgrades and denial categories
• Strong Microsoft Excel skills (vlookup/xlookup, pivot tables, etc.)
• Familiarity with invoicing/billing concepts
• Ability to build forecasts and explain assumptions

Preferred skills:

• Power BI experience
• Knowledge of payer policies, coding principles (ICD-10-CM/PCS, DRG logic)
• Exposure to appeals workflows
• Basic SQL skills

The position is remote within the US and requires regular work at a computer for extended hours with occasional lifting up to 20 lbs.