Denials Management Specialist

4 weeks ago


Little Rock, United States CHI St Vincent Health Full time
Overview

This is a great opportunity to join a cohesive, family-oriented team. Our clinic offers great work hours and flexibility We also offer tuition reimbursement for anyone that is interested in going back to school.

We understand you have personal responsibilities outside of your profession and also care about your well-being. With you in mind, we offer the following benefits to support your work/life balance: 

Health/Dental/Vision Insurance  Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care  Voluntary Protection: Group Accident, Critical Illness, and Identity Theft Employee Assistance Program (EAP) for you and your family  Paid Time Off (PTO) Tuition Assistance for career growth and development  Matching 401(k) and 457(b) Retirement Programs  Adoption Assistance  Wellness Programs  Flexible spending accounts 

CHI St. Vincent, now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, delivers care to more than one million patients each year. At CHI St. Vincent Heart Clinic Arkansas, you will be an important part of the state’s largest and most diverse network of heart specialists. And we are close to home with services in Little Rock, North Little Rock, Hot Springs, Searcy and Conway and more than 25 community locations.


Responsibilities

Responsible for day to day tasks in the Clinic Billing Department which may include payment posting or insurance denial follow-up. Assisting patients on the phone with billing questions, reviewing credit balances and refund requests, correcting claims, rebilling claims, and charge entry. 

Posting insurance or patient payments, keying in denials, posting zero insurance payments. Searching for explanation of benefits from different payers, tracking down denials and zero pays. Correcting claims, rebilling claims, entering in EOB for secondary claims, rekeying in charges. Researching unpaid claims and credit balances, reviewing request for refunds and recoupments. Help to answer patients’ phone calls to pay and assist with billing questions from patients.
Qualifications
High School Diploma or GED equivlent 3 years experience posting payments or working insurance denials at a hospital or physician office. 

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