Denials Management Specialist

2 weeks ago


Linthicum Heights, 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


 

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