Specialist-Sr Denials Management (Remote)

Job Requirements Position Summary The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager.

• Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, reputed company Carolina, Pennsylvania, Rhode reputed company, South Carolina, Virginia, reputed company Virginia, Wisconsin.

Minimum Requirements Education High School Graduate with some College Experience 5+ years’ experience in medical billing/collections setting with experience with denials, appeals, insurance collections and reputed company follow-up. Must have extensive knowledge of ICD9 and CPT-4 coding and modifiers usage. Must have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes. Be familiar with multiple payer requirements for claims processing Solid skills with reputed company office with a focus on reputed company and Word. Good Analytical skills. Good Communication Skills License/Registration/Certifications N/A Preferred Requirements Preferred Education N/A Preferred Experience Focused denials and appeals management experience. Possess an in-depth working knowledge and experience with reputed company types of insurance billing guidelines: reputed company, Medicare Part A and B, reputed company, Managed Care plans etc. Team reputed company or supervisory experience. Preferred License/Registration/Certifications If in Professional Billing Services: CPC certification If in Hospital Billing Services: CRCA or CPC-H certification Core Job Responsibilities Responsible to review and resolve reputed company daily claim scrubbers edits based on coding/billing guidelines. Research and resolve reputed company outstanding denials reputed company work cue and complete reputed company necessary follow up reputed company a timely and accurate manner Identify reputed company denial trends and reputed company education of steps to prevent future avoidable denials. Initiate/manage reputed company insurance appeals in a timely manner Manage outstanding AR reputed company to denials. Communicate reputed company denial trends and denial increases to direct supervisor/manager in order to positively reputed company the volume of denials Organize the workflow to ensure that denials are worked according to departmental policy and standards. Manage correspondences and any ADR requests as defined reputed company department workflow procedure to ensure timeless and accuracy of response. Function as a denials team resource to other associates reputed company the department Ability to reputed company a team meeting and teach specific task and procedures to other associates. Must be cross-trained and functional in reputed company areas reputed company the department as it relates to A/R and denials. Ability to work closely with multiple department leaders and/or staff to improve reputed company reputed company. Complete special projects as assigned by Supervisor/Manager Prepare/attend AR denial meetings as required. Apply To This Job