ALTEAS HEALTH IS GROWING!

Join Alteas Health team as a Denials Specialist and be at the forefront of resolving challenges in medical claims reimbursement. If you thrive on untangling complex billing denials, optimizing claims processing, and driving financial success, we invite you to apply. Make a significant impact by ensuring accurate and efficient claims resolution while contributing to our commitment to excellence in healthcare.

What are the must haves (aka minimum requirements)

• High school diploma/GED
• Strong understanding of ICD-10 and HCPCS/CPT coding
• Knowledge of Medical Terminology
• 1 year of expertise as a Denials Specialist
• Intermediate understanding of EOB’s

Tell me about the job duties (aka key responsibilities but not all encompassing)

• Streamline weekly billing submissions to insurance companies.
• Correctly code and resubmit denied claims for optimal reimbursement.
• Resolve aged denials over 90 days old, ensuring final solutions.
• Investigate improper billing/coding, offering corrective strategies.
• Communicate trends in claim holds/denials to relevant parties.
• Secure necessary prior authorizations for flagged accounts.
• Craft appeals tailored to dispute reasons and payor agreements.
• Swiftly tackle denials while adhering to payer guidelines.
• Verify accurate charges and reimbursement per contracts.
• Escalate appeals when needed for decisive resolutions.
• Execute payer projects as assigned.
• Research and enhance processes for account trends.
• Embrace organizational values: Compassionate Resilience, Integrity and Humility, Respect, and Innovation.

Why should I join Alteas Health (aka benefits)

Guided by the Revenue Cycle Manager, the Denials Specialist validates claim denials by reviewing patients' Insurance Explanation of Benefits. Primary tasks involve addressing denied and aged claims over 90 days, including communicating with payors to identify denial reasons and facilitate claim resolution.

• Direct lines of communication to the Leadership Team
• Insurance Benefits (waiting period may apply):
  • Medical (50% employer paid)
  • Dental 
  • Vision
  • Employer Paid Life Insurance 
  • Group Life
  • Short-Term Disability
  • Long-Term Disability 
  • Accident Coverage 
  • Critical Illness 
  • FSA or HSA options
• 401k 
• Profit Sharing
• Paid Time Off (PTO)

Join Alteas Health, a rapidly expanding and innovative company, as we seek a compassionate, resilient, and skilled provider to join our clinical team. Thrive in a dynamic, fast-paced environment while empowering patient care delivery and fostering employee growth. As a proven leader, Alteas Health delivers sub-specialty care to underserved populations across multiple states, including Florida, Illinois, Indiana, Kansas, Michigan, Missouri, Ohio, and Wisconsin.

www.alteashealth.com