[Hiring] Denials Standardization Lead Analyst @R1 RCM

Role Description

As our Performance Management Denials Analyst Standardization Lead, you will help reduce preventable claim denials by identifying clinical, coding, and process-driven root causes that negatively impact reimbursement and overall revenue cycle performance.

• Analyze denied claims to develop and write clear problem statements that define the intended objective, where the process failed, and the specific failure points driving denials.
• Partner closely with operational teams to validate medical terminology, coding accuracy, and front-end revenue cycle processes contributing to denials.
• Assess and communicate the financial impact of denials, supporting initiatives aimed at reducing significant revenue loss and improving the bottom line for internal and external clients.

Here’s what you will experience working as a Denials Analyst:

• A denials-focused, performance-driven environment with clear expectations.
• Direct collaboration with coding and revenue cycle teams.
• Ownership of denial analysis with measurable financial impact.
• Autonomy to identify issues and drive corrective action.

Qualifications

• Minimum 2 years of experience in revenue cycle management with a focus on denials and performance management.
• Working knowledge of medical terminology related to denied claims.
• Experience collaborating with coding teams and stakeholders analyzing denial root causes.
• Advanced Excel skills: pivot tables, data annualization, data visualizations.
• Complex denial experience.
• Recent revenue cycle front-end denial experience and understanding of all revenue cycle front-end processes.
• Experience identifying root causes and presenting cause and solution to management.
• The ability to write up charting assessment.

Requirements

• Hands-on experience in a denials or revenue cycle environment.
• Strong critical-thinking skills.
• Ability to clearly communicate clinical and operational issues to stakeholders.

Benefits

• Base pay range: $48,131.00 - $81,225.49 per year.
• Eligible to participate in our annual bonus plan at a target of 5.00%.
• Competitive benefits package.