Denials Management Specialist

2 weeks ago


WinstonSalem, United States CoreLife Full time $22 - $28
Job DescriptionJob Description  

DENIALS MANAGEMENT SPECIALIST

We seek a dedicated and detail-oriented Denials Management Specialist to join our team. In this role, you will manage and resolve denials, including charge entry, payment posting, follow-up, and collections. Your focus will be on maximizing client satisfaction while adhering to practice protocols.

Key Responsibilities:

  • Manage and resolve denials and appeals, ensuring effective denial management and prompt reimbursement.
  • Follow up on returned claims, correspondence, denials, account reconciliations, and rebills.
  • Reduce accounts receivable of insurance balances by addressing outstanding accounts.
  • Interpret and apply insurance payer guidelines, claim submission rules, and contract terms.
  • Analyze accounts for proper claims processing and payment posting.
  • Provide cross-coverage for team members and maintain regular communication with management about denial findings.
  • Keep organized references on coding, insurance carriers, managed care networks, and credentialing.
  • Maintain confidentiality and adhere to HIPAA standards.
  • Other duties as assigned.

Qualifications:

  • An associate degree or higher is preferred, or equivalent to 3-5 years of experience in medical billing.
  • 3-5 years experience in medical billing and A/R management.
  • Proficient in EPIC and Excel.
  • Understanding of CPT/ICD10 coding and insurance carrier requirements.
  • Excellent communication skills with internal and external customers.
  • Ability to manage stressful situations calmly and effectively.

AS A CORELIFE TEAMMATE, YOU CAN EXPECT:

  • Values-based culture
  • A competitive salary based on experience ($22 - $28 an hour)
  • Medical, dental, and vision insurance
  • Wide selection of ancillary benefits
  • Paid time off
  • 7 paid holidays
  • Retirement plan

CoreLife is an Equal Opportunity Employer. APPLY NOW


 

Powered by JazzHR

ojfuhWdhPr



  • Winston-Salem, North Carolina, United States PriMed Processing, LLC Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Medical Billing Specialist to join our team at PriMed Processing, LLC. As a Medical Billing Specialist, you will play a critical role in ensuring the accurate and timely processing of medical claims, working closely with healthcare providers and insurance carriers to resolve any issues that may...


  • Salem, United States Salem Hospital, Inc. Full time

    Salem Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community.We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care,...


  • Winston-Salem, North Carolina, United States Area Wide Protective Full time

    Become a vital part of Area Wide Protective - a leader in traffic safety solutions.Position: Traffic Management SpecialistCompany OverviewArea Wide Protective is in search of committed individuals for the role of Traffic Management Specialist. This entry-level position is ideal for those who appreciate outdoor work, emphasize safety, and excel in fast-paced...


  • Winston-Salem, North Carolina, United States Area Wide Protective Full time

    Become a vital part of Area Wide Protective - a leader in traffic safety solutions.Position: Traffic Management SpecialistCompany OverviewArea Wide Protective is on the lookout for committed individuals to fill the role of Traffic Management Specialist. This entry-level position is ideal for those who appreciate outdoor work, emphasize safety, and excel in...


  • Winston-Salem, United States JT Stratford Wealth Management Full time

    Job DescriptionJob DescriptionClient Relations Specialist (On-Site)JT Stratford Investment Advisors (JTS) has a job opening for a full time Client Relations Specialist (CRS) for our office located in Winston-Salem, NC. Our Firm has been advising clients since 1995 and we have the pleasure of serving over 1000 clients nationwide. Our firm was built around...


  • Salem, Oregon, United States Salem Health Hospitals and Clinics Full time

    About the RoleSalem Health Hospitals and Clinics is seeking a highly skilled Insurance AR Specialist to join our team. As a key member of our Professional Billing department, you will play a critical role in ensuring timely and accurate reimbursement from payers.Key ResponsibilitiesResolve moderate to complex claim errors prior to submission to payers,...


  • Salem, Oregon, United States Regency Management Services, LLC Full time

    Job OverviewRegency Management Services, LLC is seeking a highly skilled Inventory Management Specialist to lead the cycle counting process and maintain accurate inventory records for our stores and warehouses.This is a full-time position that requires strong organizational and communication skills, as well as the ability to work independently and as part of...

  • Compliance Specialist

    11 hours ago


    Salem, Oregon, United States State of Oregon Full time

    Job SummaryWe are seeking a highly skilled Compliance Specialist to join our team at the State of Oregon. As a Compliance Specialist, you will be responsible for ensuring that our institutions comply with relevant statutes, rules, and guidelines for student complaints and consumer protections.Key ResponsibilitiesAnalyze and interpret laws, rules, and...


  • Winston-Salem, United States First Horizon Advisors, Inc. Full time

    Location: On site at location listed in job posting. SummaryThe Wealth Management Client Specialist will be actively involved in supporting advisor(s) through a full service platform. Assists in achievement of sales revenue by customer contact, relationship building, referral source management, technical, and interpersonal skills. The Client Specialist helps...


  • Winston-Salem, United States Landmark Builders, Inc. Full time

    Job DescriptionJob DescriptionLandmark Builders is seeking a full-time, experienced Healthcare Specialist Project Manager in its Winston-Salem, NC office with specific expertise in stand-alone medical and/or hospital renovation. About our Amazing CompanyLandmark Builders offers general construction, design/build, construction management, and...

  • Compliance Specialist

    4 weeks ago


    Winston-Salem, United States HdL Companies Full time

    Manage a large volume of inbound and outbound calls in a timely manner. Follow standard operating procedures. Research inquiries and provide solutions. Keep the pipeline full and work to improve the process. Timely and accurately record work and resu Compliance Specialist, Specialist, Compliance, Healthcare, Skills


  • Winston-Salem, North Carolina, United States PriMed Processing, LLC Full time

    Position OverviewAbout Us:PriMed Processing LLC is a dedicated medical reimbursement firm that specializes in addressing the unique requirements of neurology practices and neurodiagnostic testing facilities. Established in 2001 as a woman-owned enterprise, we have cultivated a distinctive, boutique-style approach to medical billing, achieving exceptional...


  • Winston-Salem, United States Winston-Salem State University Full time

    Winston-Salem State University enthusiastically welcomes your application. We are seeking a motivated and knowledgeable Learning and Development Specialist to join our team. This role is critical in supporting the development and delivery of effectiv Development, Specialist, Training, Commercial Driver, Management, Education


  • Winston-Salem, North Carolina, United States DNT ENVIRONMENTAL SERVICES INC Full time

    Job SummaryDNT Environmental Services Inc. is seeking a highly skilled Environmental Project Manager - Remediation Specialist to join our team. As a key member of our project management team, you will be responsible for the successful execution of our environmental remediation projects.Key ResponsibilitiesManage the responsibilities of assigned field...


  • Winston-Salem, United States Novant Health Full time

    Overview: Novant Health is looking for an Employee Relations Specialist with at least 1 year of Human Resources experience. Preferably with HR Coordinator or HR Specialist experience supporting a HR team or department. Must be proficient with Microsoft Excel to include exporting and manipulating data, experience with pivot tables, and utilizing formulas. ...


  • Winston-Salem, North Carolina, United States Robinson & Lawing, LLP Full time

    Position: Legal Support Specialist at Robinson & Lawing, LLPCompany Overview: A reputable law firm focusing on Workers' Compensation and Employment Law.Seeking a knowledgeable Legal Support Specialist to assist senior legal professionals.The ideal applicant should have a background in legal support and case management.Key responsibilities...


  • Winston-Salem, United States O'Reilly Auto Parts Full time

    O'Reilly Automotive - 750 Waughtown Street [Store Manager] As a Retail Service Specialist at O'Reilly Automotive, you'll: Provide professional services while delivering an excellent customer service experience; Support the Store Manager and Assistant Manager in the areas of sales, customer service, store appearance and operations; Serve in a leadership role...

  • IT Support Specialist

    15 hours ago


    Winston-Salem, North Carolina, United States MyCareer+ Full time

    Job Summary:MyCareer+ is seeking a highly skilled IT Support Specialist to join our team. As an IT Support Specialist, you will be responsible for providing technical support to end users, troubleshooting hardware and software issues, and documenting user requests, problems, and solutions.Key Responsibilities:Provide technical support to end users via phone,...


  • Winston-Salem, United States Omega Construction, Inc. Full time

    Receptionist & IT Support Specialist Job DescriptionThe Receptionist & IT Support Specialist will provide support to the IT Manager while also performing general office and administrative duties. As a Receptionist & IT Support Specialist, your role is pivotal in ensuring seamless operations at our organization by fulfilling two critical functions: front desk...


  • Winston-Salem, United States Omega Construction, Inc. Full time

    Receptionist & IT Support Specialist Job DescriptionThe Receptionist & IT Support Specialist will provide support to the IT Manager while also performing general office and administrative duties. As a Receptionist & IT Support Specialist, your role is pivotal in ensuring seamless operations at our organization by fulfilling two critical functions: front desk...