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Claims Resolution Specialist

2 months ago

Atlanta Georgia, United States Northside Hospital Inc. Full time
{"title": "Claims Resolution Specialist", "content": "Job Summary

Northside Hospital Inc. is seeking a skilled Claims Resolution Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for resolving denied claims and ensuring timely reimbursement for our patients.

Key Responsibilities
  • Draft and submit appeals for denied claims to insurance carriers
  • Conduct extensive telephone contact with insurance companies to resolve payment disputes
  • Utilize contract summaries to verify balances due on disputed claims
  • Refers accounts to appropriate departments for necessary action
  • Maintains accurate system documentation and notifies supervisor of payor trends
Requirements
  • Bachelor's degree in Health Science, Bookkeeping, or Business, or equivalent experience
  • 3+ years of insurance collections/AR receivables experience
  • Knowledge of healthcare receivables and collections, including denial and appeal processes
  • Excellent verbal and written communication skills
Preferred Qualifications
  • CPAR certification
  • Experience with Excel and STAR/McKesson products
Work Hours

6:00 AM - 2:45 PM

", "lang_code": "en-US"}