What are the responsibilities and job description for the Clinical Denials Audit & Analysis Specialist, Hybrid, Appeals & Denials, Baptist Metro Square position at Baptist Health?
Job Summary
Baptist Health is looking to add a Clinical Denials Audit & Analysis Specialist to join our Appeals and Denials Team at Baptist Metro Square. This is a Full-Time Days opportunity.
As a Clinical Denials Audit & Analysis Specialist, you will be responsible for:
- Provides system support for Clinical Denials Audit and Analysis team.
- Works closely with the Denials and Appeals Nurses, Physician Advisors, and CDAA leadership to ensure denials are coordinated and escalations addresses, to ensure maximum reimbursement for the organization.
- Responsible for entry of and follow up on our concurrent (in-house) denials via the Epic Environment.
- Provides coordination for Medicare Discharge Appeals and coordinates with Utilization Management regarding outcomes.
- Schedules and provides clerical support to our Physician Advisors for Peer to Peer and payer escalation requests.
- Provides clerical support to the Denials and Appeals Nurses as required.
- Coordination of multiples requests and denials received via voicemail, fax, and department Outlook mailbox.
Experience Requirements:
1-2 Years Denial/Audit Resolution Required
1-2 Years EMR Experience Required
1-2 Years Clerical Experience Required
1-2 Years Healthcare Experience Preferred
Education & Credential Requirements:
High School Diploma Required
This Clinical Denials Audit & Analysis Specialist will be located at Baptist Metro Square. If you are interested in this Full-Time Days opportunity, please apply now!
Education Required
High School
Experience
- Clerical Experience
- EMR experience
- Denial/Audit Resolution
License and Certification
- Driver's License - DMV
Location
Metro Square
3563 Philips Hwy
Jacksonville, , 32207
About Baptist Health
Chosen as the area's “Most Preferred” healthcare provider every year since 1990 according to the annual National Research Corporation study of Jacksonville area residents, Baptist Health ranks highest in the categories of Best Doctors, Best Nurses, Best Quality and Best Reputation.