Job
Description
" We seek an experienced and highly motivated Senior Analyst to join our team. The Senior Analyst in Denials Management Team will be responsible for identifying denied claims, making outbound calls to insurance payers, and resubmitting corrected claims. The ideal candidate should possess excellent communication and problem-solving skills, have a strong understanding of medical billing and coding, and be well-versed in denial management and appeals processes. Role & responsibilities Denial Identification and Analysis: Identify, categorize, and analyze denials and underpayments from Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs). Claim Resubmission: Correct and resubmit denied claims following payer guidelines and timelines. Payer Communication: Communicate with insurance companies to resolve issues leading to denials and ensure accurate reimbursement. Preventative Action: Review denial trends and work with other RCM teams to implement processes that can prevent future denials. Experience in analyzing and resubmitting Denials in multiple specialities (Denials due to Medical Coding, Authorisation, etc). Preferred candidate profile 1-3 years of prior experience in denials management, healthcare billing, or a related role. Strong understanding of medical billing processes payer requirements and CARC/RARC codes. Excellent problem-solving and negotiation skills. Detail-oriented with strong analytical skills. Excellent communication skills, both written and verbal. Proficiency in using healthcare billing software and Microsoft Office Suite. Why you ll love working at Commure + Athelas: Highly Driven Team: We work hard and fast for exceptional results, knowing we re doing mission-driven work to transform the country s largest sector. Strong Backing : We are backed by top investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital and Elad Gil. Incredible Growth : Prior to our merger, Commure and Athelas had independently grown more than 500% YoY for three consecutive years. We ve achieved Series D funding, have an industry-leading runway, and continue to scale rapidly. Competitive Benefits: Flexible PTO (pending specific geographical locations) , medical, dental, vision, maternity and paternity leave. Note that benefits are subject to change and may vary based on jurisdiction.
