Denials Analyst

Behavioral Health - Remote in the US - Denials AnalystAs a Denials Analyst, you will, Audit denied claims to determine route cause and implement improvements to ensure claims are processed appropriately. You will collaborate with the Revenue Cycle team, making sure clinical appeals and reviews are done correctly and that insurance balances are adjusted accordingly, and appeals are getting paid. You will assist with the discovery of denial trends to review and resolve any issues. You will use data analytics to identify patterns and root causes of denials; analyzing trends to help prevent reoccurring issues. You will also prepare documents, reports, completing research for projects. You will work with others to update policies and procedures to better prevent the denial of claims. To thrive in this position, you should be good at understanding rules and analyzing data about claims denials. You will need to be able to communicate and coordinate effectively with others. You will need to be organized with a great attention to detail and accuracy. You will need to keep information confidential following HIPAA guidelines. To be considered for this position, you are required to have a bachelor's degree in a Business-related field or Health care management administration or equivalent work experience in Health Billing and Denials Management. This position requirements knowledge of payor requirements, regulatory and reimbursement methodologies and an understanding of Coding Classifications and Payor terminology on the Payment, Discount and Denial Codes that are applicable to creating the data models to uncover trend.Location: Remote in US with the ability to travel to Bismarck if needed.

About Team ND

"Far and away the best prize life offers is the chance to work hard at work worth doing." - Theodore RooseveltMore than 7,500 talented, hard-working people across sixty-three agencies have come together as Team North Dakota. At Team ND, we are driven to succeed through gratitude, humility, curiosity and courage. Our purpose is to empower people, improve lives, and inspire success. Join us in being legendary.Total Rewards: The State of North Dakota is committed to providing team members with a strong and competitive rewards package that support you, your health and your family.Considering a new position on Team ND? How does your current position stack up? Use our Total Rewards Calculator to estimate.

325 HHS Application Procedures

Your resume should include information to demonstrate how you meet the minimum qualifications as posted. If the Department's Human Resource Division is unable to determine that you meet the minimum qualifications, credit will not be given. All application material must be received on or before the closing date by 11:59 pm.Applicants must be legally authorized to work in the United States. The Department of Health & Human Services does not offer or provide sponsorships.This employer participates in E-Verify. Please visit the following website for additional information: https://www.hhs.nd.gov/careers/e-verifyA copy of your qualifying degrees transcript and any applicable certifications or licensures must be provided at the time of an interview.For more information about the position or if you need an accommodation, please contact Stan Salwei at salweistan@nd.gov or at 701.239.7378.Employing Unit: ND HHS - Behavioral HealthUnit Phone Number: 701.328.8920TTY Number: ND Relay Service 1-800-366-6888 (text); 1-800-366-6889 (voice)If you are experiencing technical difficulties with the Application Process or uploading attachments, please contact recruiter@nd.gov or (701)328-3290.

Equal Opportunity Employer

The State of North Dakota and this hiring agency do not discriminate on the basis of race, color, national origin, sex (including sexual orientation and gender identity), genetics, religion, age or disability in employment or the provisions of services and complies with the provisions of the North Dakota Human Rights Act.As an employer, the State of North Dakota prohibits smoking in all places of state employment in accordance with N.D.C.C. Sect. 23-12-10.