Denials and Appeals Coordinator, FT Days
2 months ago
The Denials and Appeals Specialist is responsible for reviewing denied claims and carrying out the appeals process. Works to maintain third-party payer relationships, including responding to inquiries, complaints, and other correspondence. Knowledgeable of state and federal laws that relate to payor contracts and appeals. Maintains and monitors integrity of the claim development and submission process.
Required Skills
- Ten-key by touch required.
- Knowledgeable of Patient Management and Patient Accounting systems.
- Excellent customer service to effectively communicate with internal and external customers.
- Analytical ability to comprehend, interpret and explain contract terms.
- Excellent Financial analytical skills.
- Excellent oral and written communication skills.
- Detail oriented ability to set and meet deadlines, and support multiple projects.
- Solid decision making skills.
- Ability to work independently as well as in a team environment.
- Knowledge of computers and accounting systems
- Proficiency with Microsoft Office software.
Required Experience
Work Experience:
At least two years' experience in healthcare billing, collections, payment processing, and denials management.
At least two years' experience using computer programs for tracking denials and appeals.
License/Registration/Certification:
None.
Education and Training:
Bachelor's degree in business, healthcare, or related field or a combination of relevant education and experience (associates degree with three or more years of patient financial services preferred).
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