Medical Claims Specialist
7 days ago
Overview
Northside Hospital is a leading healthcare provider in Atlanta, committed to delivering exceptional patient care and services. As a Physician Denial Management Specialist, you will play a critical role in ensuring timely and accurate reimbursement for our patients.
Responsibilities
Utilize your expertise in insurance claims and revenue cycle management to follow up on unprocessed or denied claims, collaborating with physician offices and billing teams to resolve issues and maximize reimbursements. Ensure compliance with HIPAA regulations and maintain accurate records of claim status.
Qualifications
REQUIRED:
1. 1 year of experience in insurance collections or AR receivables, or 2 years of customer service, banking, or accounting experience.
2. Excellent verbal and written communication skills.
3. Proficiency in Microsoft Office Suite and basic computer skills.
4. Basic reading, writing, and arithmetic skills.
PREFERRED:
5. Knowledge of healthcare receivables and collections, including denial and appeal processes.
6. Understanding of the healthcare revenue cycle.
7. Coding knowledge or CPC certification.
8. Familiarity with insurance company websites.
Work Hours:
7:00AM-3:45PM-
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