Provider Services Analyst I

Trend Health Partners

Provider Services Analyst I resolving insurance denials for TREND Health Partners, a payment integrity company. Promoting collaboration between payers and providers through tech-enabled workflows.

Posted 4/22/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $50,000 - $60,000 per yearWebsite

About the role

Key responsibilities & impact

Determine denials from remittance /explanation of benefits
Trend root cause and take appropriate steps for resolution by crafting detailed appeal letters
Contact insurance payers for resolution
Ensure legal compliance by following guidelines, account contract, and the company's business plan
Maintain quality service by following corporate customer service practices and protocols
Analyze claims to determine the validity of recovery options
Draft detailed & convincing correspondence to effectuate reimbursement
Contact insurance carriers, patients, attorneys, and employers to facilitate reimbursement
Interpret contracts as it relates to reimbursement, timelines, and verbiage of payer responsibilities guidelines to be followed
Use of payer portals and other technologies to advance time to revenue
Identify defined root causes and trends from client inventories to formulate recovery resolutions or next steps in best practices
Clearly and concisely document all actions taken to the resolution of each claim within a claims recovery system

Requirements

What you’ll need

Prior experience reviewing, processing, and recovering in patient or outpatient clinical/technical post service denials preferred
Multi-state Knowledge of payer requirements preferred but not required specifically in appeal guidelines and timeframes
Knowledge of UB04s and Claim Adjustment Reason Codes (CARC) and Reason Adjustment Reason Codes (RARC) is preferred
Ability to resolve claims by composing a compelling appeal letter; guiding resolution of non-routine claims; auditing claims with decision resulting in a high overturn rate.
Prior experience navigating EMRs (Cerner, Epic, etc.) and patient financial systems
Thought leader with critical eye for detail
Strong ability to effectively multi-task
Superior verbal, written, customer service, and analytical skills with resolution is preferable.
A continuous drive to stay abreast of healthcare industry policies and regulations
Understanding of medical terminology used in administrative and clinical documentation is preferable
Familiarity with Microsoft Office products
Possession of a High School Diploma with some college
Experience within the healthcare market
Experience in navigating EMR and Patient Financial related software support systems, EPIC and Cerner experience a plus
Previous experience within an acute care or outpatient environment of revenue cycle

Benefits

Comp & perks

Competitive salaries
Highly valued health insurance
401(k) plan with employer match
Paid parental leave
More benefits offered

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims processingdenial managementappeal letter compositionclaims auditingmedical terminologyUB04 knowledgeClaim Adjustment Reason Codes (CARC)Reason Adjustment Reason Codes (RARC)revenue cycle managementpatient financial systems

Soft Skills

attention to detailmulti-taskingverbal communicationwritten communicationcustomer serviceanalytical skillsproblem-solvingcritical thinkingleadershipcollaboration

Certifications

High School Diplomasome college education