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Denials Specialist onsite
SynergenX Houston, TX
$46k-60k (estimate)
Full Time 2 Weeks Ago
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SynergenX is Hiring a Denials Specialist onsite Near Houston, TX

We are a nationwide leader in hormone replacement therapy (HRT) services, dedicated to optimizing the health and well-being of individuals through personalized hormone treatment plans. With a focus on quality care, innovation, and patient satisfaction, SynergenX and Low T Center has established itself as a trusted provider in the field of hormonal health.

With a focus on teamwork, collaboration, and professional development, our company provides opportunities for growth and advancement. We foster a culture of positivity, enthusiasm, and dedication to our mission, creating a rewarding and fulfilling workplace for all team members.

This position is responsible for collecting and reviewing denial information to formulate appeals, sending appeal correspondence and essential documentation to appropriate carrier. You are responsible for performing patient account research to prevent billing rejections and develop report/feedback to Billing Supervisor on the completion of denials submitted. This position is highly visible and requires strong written and verbal communication with the ability to prioritize, plan, and multi-task with the department.

Position is 100% onsite, remote is not available

PRIMARY RESPONSIBILITIES:

  • Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing
  • Devote time weekly to work current rejections 1 to 120 days Fix errors and re-bill accordingly.
  • Initiate appeals to payers following the guidelines outlined for that Note account and track appeal to resolution.
  • Enter notes on all accounts with action take and paste any proof of insurance
  • Be prepared to account for action taken on Participate in meetings as instructed by management. Provide work status updates to management upon request that may include running statistical reports.
  • Meet or exceed all set deadlines and
  • Promptly inform management of any problems or changes with system or payers
  • Assist others and share knowledge with co-workers either when asked or when necessary for the betterment of completing tasks, the overall account and
  • Participate in personal development training and cross training as instructed by
  • Understand and follow all payer rules when setting up billing rules on accounts to ensure accurate
  • Follow protocol by informing managerial staff of any problems and never contact patients without prior management
  • Understand coding rules to detect potential claim Consult with billers on those accounts in question.
  • Always adhere to all office policies.
  • Always maintain confidentiality.
  • Work special projects as assigned.
  • Participate in being "part of the team" - contribute to a calm but enjoyable workplace.

QUALIFICATIONS:

High School Diploma or GED, required, and 6 months of relative Claims or insurance denial experience, preferred

HOURS & LOCATION:

Full-time M-F 8a-5p/ Houston, Texas 77070

2 full weeks of on the job training is provided!

Position is 100% onsite, remote is not available

BENEFITS:

Employee discounts for you and a family member, Major health, dental and vision insurance after 60 days, life insurance policy after 60 days, 401k with excellent match after 90 days, PTO accumulated biweekly and available after 90 days with yearly increases, tuition reimbursement toward Associates, Bachelors, or Masters degrees after 6 months.

Job Summary

JOB TYPE

Full Time

SALARY

$46k-60k (estimate)

POST DATE

04/26/2024

EXPIRATION DATE

05/24/2024

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