Clinical Denial Analyst

Larkin Health System is an integrated healthcare delivery system accredited by the Joint Commission with locations in South Miami, Hialeah and Hollywood, Florida. Our network of acute care hospitals provide a complete continuum of healthcare services, including a full range of inpatient and outpatient services, and home health agencies in Miami-Dade and Broward County. We are heavily invested in training the next generation of health professionals, which is the core of our mission: to provide access to compassionate care of the highest quality in an educational environment.

GENERAL JOB DESCRIPTION 

The RN Denial Analyst is responsible for reviewing denial claims, submitting reconsiderations or appeals. Reporting to the Revenue Cycle Director, this role is responsible to optimize the financial outcomes of the hospital-based revenue cycle through maintaining a low denial rate and high reimbursement rate. Initiates a root cause analysis of denied payment through comp...