Denial Prevention Analyst ; DPA - Remote

Denial Prevention Analyst I (DPA I) - Remote

Job Category: Technical Services

Requisition Number: DENIA
034688

Location: Remote

Reports To: Senior Manager, Pre-Registration

Department: Pre-Arrival Center (PAC)

The Denial Prevention Analyst position is responsible for pre-registering scheduled patients. The role includes conducting pre-service patient interviews, ensuring a complete and accurate billing record for the scheduled service, and collecting estimated patient financial liabilities. These efforts will result in increased net revenue by reducing bad debt and potential write-offs due to a lack of patient collections or front-end related denials.

Interactions will be conducted with providers, payers, patients, and hospital-based personnel. Duties are to be performed accurately and timely while providing exceptional customer service.

• Interview patients via phone through inbound/outbound efforts while completing the pre-registration process.
• Comply with regulatory requirements during the pre-registration process, including but not limited to completing the Medicare Secondary Payer Questionnaire.
• Educate patients on their estimated out-of-pocket financial responsibility. Collect liabilities while within the guidelines set forth by the organization.
• Escalate high dollar out-of-pocket accounts at risk for non-payment prior to services being rendered.
• Resolve patient demographic and insurance discrepancies as identified through various system tools.
• Document the outcome of the patient interview thoroughly and accurately while delivering excellent customer service.
• Observe privacy, safety, and security procedures, using equipment and materials properly.
• Demonstrate the ability to work within a remote call center environment free from distractions and background noise.
• Exhibit exceptional customer service as a critical factor in all duties performed.

• Proficient in typing
• General knowledge of medical terminology
• Ability to communicate effectively and professionally in English, both verbally and in writing. Bilingual a plus.
• Critical thinking and problem-solving skills
• High school graduate or equivalent
• One year of previous scheduling experience in the medical field is preferred
• Competitive salary and benefits package
• Opportunities for professional development and advancement
• Supportive work environment with a collaborative team
• Comprehensive healthcare coverage
• Retirement savings plan
• Paid time off and flexible scheduling options

This employer is an equal opportunity employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.