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Denials Management Specialist
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Magstatt-le-Bas, Grand Est, United States Methodist Health System Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Denials Management Specialist to join our team at Methodist Health System. As a key member of our revenue cycle team, you will be responsible for reviewing and resolving denials for commercial and government payers, as well as physician and facility claims.Key ResponsibilitiesDenial Review and...
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Denials Management Specialist
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Magstatt-le-Bas, Grand Est, United States Methodist Health System Full timeJob SummaryAt Methodist Health System, we are seeking a highly skilled Denials Management Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing and resolving denials for commercial and government payers, as well as physician and facility claims.Key ResponsibilitiesAnalyze denials and ensure compliance...
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Denials Management Specialist
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Magstatt-le-Bas, Grand Est, United States Methodist Health System Full timeJob SummaryNebraska Methodist Health System is seeking a highly skilled Denials Management Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing denials, analyzing contractual and reimbursement issues, and escalating appeals to payers as needed.ResponsibilitiesAnalyze denials and ensure accuracy of...
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Magstatt-le-Bas, Grand Est, United States Methodist Health System Full timeJob SummaryNebraska Methodist Health System is seeking a highly skilled Denials Management Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing denials, analyzing contractual and reimbursement issues, and escalating appeals to payers as needed.ResponsibilitiesAnalyze denials and ensure accuracy of...
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Denials Management Specialist
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Magstatt-le-Bas, Grand Est, United States Methodist Health System Full timeJob SummaryNebraska Methodist Health System is seeking a highly skilled Denials Management Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing denials, analyzing contractual and reimbursement issues, and escalating appeals to payers as needed to obtain maximum reimbursement in compliance with payer...
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Denials Management Specialist
2 months ago
Nebraska Methodist Health System is seeking a highly skilled Denials Management Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing denials, analyzing contractual and reimbursement issues, and escalating appeals to payers as needed.
Responsibilities- Analyze denials and ensure accuracy of payments, initiating corrective action with third-party payers as necessary.
- Research and resolve contractual and reimbursement issues, providing timely follow-up on denials and appeals.
- Assist staff with work volume as needed, responding to special requests and providing contract/payor recommendations.
- Participate in payer meetings and escalate payer issues, assisting with tracking payer agenda items.
- Provide training on contracts and reimbursement to other areas as needed.
- High School Diploma or General Educational Development (G.E.D.) required; college coursework in accounting and/or healthcare preferred.
- Minimum 1-2 years of experience working for a third-party payer or healthcare provider required; minimum 1 year of insurance billing experience preferred.
- Six months of institutional and professional ICD and CPT coding experience preferred; six months of experience with DRG reimbursement and outpatient, including ASC grouper, ER, and outpatient reimbursement preferred.
- Experience in researching institutional and professional claims to determine correct contract reimbursement using payer contracts preferred.
Nebraska Methodist Health System is a comprehensive healthcare organization dedicated to providing exceptional care to our communities. We offer a competitive salary, excellent benefits, and a great work environment where all employees are valued. If you are a motivated and detail-oriented individual with a passion for revenue cycle management, we encourage you to apply for this exciting opportunity.
