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Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner....
Position Description:
The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner. This position also requires corresponding with other teams on various types of errors to resolve claims needing additional review. They independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines. This role supports the revenue cycle workflows, charge capture, and work queue processes. This position will help optimize the Revenue Cycle by evaluating, validating, and trending data for presentation to all levels of the organization.
EDUCATION EQUIREMENTS/LICENSURE/CERTIFICATION/REGISTRATION
Full Time
$44k-55k (estimate)
04/07/2024
07/04/2024
prairieridge.health
Columbus, WI