Denials Specialist
Job Description
Job Description
This role is responsible for the follow-up and collections of accounts on the accounts receivable. This includes general payer collections and denial follow-up. In addition, this rolecould oversee the intake of patient calls. This position performs various accounting, customer services and organizational tasks to promote the financial health of the organization.
The identification of Duties and Responsibilities does not display an exhaustive list of all duties that may be assigned to this position, nor does it restrict the related work that may be assigned to this position.
WHAT YOU WILL BE WORKING ON:
â- Accounts Receivable follow up, both collection and denials resolution
o Requires direct calling to payers and use of payer portals
â-ª Working in Patient Account system, work queuesand use of excel documents
â- Credit balance resolution
o Ability to interpret a variety of eobs to reconcile the patient account. Determining appropriate balance and actions needed to reconcile account to determine if credit is accurate and take appropriate action for refund/takeback
â- Place outgoing calls to insurance companies to resolve outstanding claims/balances
â- Working knowledge of Medicare, Medicaid, Government and Commercial payers
â- Ability to trend and communicate payer scenarios
â- Perform month end close procedures within established time frame
â- Communicate with Manager payer and account issues in a timely manner
â- Monitor accounts for other opportunities (i.e. copay, deductible and coinsurance)
â- Enter appropriate comments in the software system clearly and concisely for tracking and documentation
â- Ensure adherence to HIPAA standards and all other privacy and compliance policies
â- Staying knowledgeable on Payer/Contract updates and bulletins
â- Perform other duties as assigned to support the financial health of the organization
KNOWLEDGE, EDUCATION and SKILLS REQUIREMENTS:
â- High School diploma or equivalent
â- Previous Healthcare experience in Accounts Receivable Management
WHAT WILL MAKE YOU AWESOME:
â- Excellent written and verbal communication skills
â- Excellent computer skills, including Excel, Word, and RCM systems as needed.
â- Highly organized, detail-oriented, strong work ethic, and demonstrated teamwork skills
â- Ability to multi-task and meet deadlines
WHAT YOU KNOW:
To be successful in this role you will have the following experience or knowledge:
â- Ability to read various eobs
â- Payer Portals
â- Medicare/Medicaid Knowledge
Job Posted by ApplicantProRecommended Jobs
Environmental Program Manager, AWS Environmental, AWS EHS Compliance
DESCRIPTION AWS Infrastructure Services owns the design, planning, delivery, and operation of all AWS global infrastructure. In other words, we’re the people who keep the cloud running. We support…
Automotive Title Clerk
Automotive Title Clerk Kenwood Dealer Group, Inc. 4780 Socialville Foster Rd., Mason, OH 45040 Kenwood Dealer Group has a great reputation in the automotive industry and we are seeking qualifi…
Dentist Anesthesiologist (Greenville, NC)
Dentist Anesthesiologist - Greenville, NC Are you passionate about providing equal access to exceptional dental care for all children? ~Do you thrive in a supportive environment that fosters both pr…
Regional Reliability Engineer II
Requisition Number: 204946 Job Description Cintas is seeking a Regional Reliability Engineer II to assist Group Vice President(s), location management teams and Corporate Quality and Engineeri…
Accounts Receivable Specialist
WHO WE ARE: Paul Davis is an industry leader in restoration and reconstruction for insurance providers and commercial properties throughout the U.S. and Canada. We are growing locally and h…
Otolaryngologist - $650,000.00
A leading medical group is looking to hire an Otolaryngologist to work in Findlay, OH (40mins from Toledo) Earn Excellent Comp with a flexible schedule! FOR MORE INFORMATION CONTACT: Raymond …
CAREGIVER / OPEN SHIFT / START IMMEDIATELY
Job Description Job Description Benefits: Competitive salary Paid time off Flexible schedule Caregivers Needed North Olmsted Day & Night Shifts That Work Around You ! Build a …
Cook
Job Description Job Description Calling all candidates who want to be part of a fun and growing team! We are a skilled nursing facility seeking a dedicated Cook to join the Creekside Care Center …
Lacthkey Assistant Coordinator
Lacthkey Assistant Coordinator Location London, OH : Assignment: Norwood Elementary Latchkey Program (West Jefferson, OH)Part time: 15-20 hours per week - am or pmLesson plans, schedules, billing in…
Drafter
Job Description Job Description About Us: Panelmatic, Inc. was founded in 1957 in Youngstown, OH to serve manufacturing industries with the design and build of custom electrical, instrument, a…