What are the responsibilities and job description for the Claims and Denial Management Specialist position at Catalyst Billing Solutions?
Catalyst Billing Solutions
Claims and Denial Management Specialist
Summary: Responsible for reviewing and resolving denied insurance claims
Responsibilities:
- Review all paperwork the insurance company sends about a claim denial
- Formulate appeals that include documentation and an argument and follow up with the insurance company about possible reimbursement
- Assisting Insurance companies with gathering additional paperwork they may need to process a denial appeal from patient
- Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials
- Identifies and pursues opportunities for improvements in denial performance
- Researches, responds, and documents insurer and patient correspondence/inquiry notes regarding coding coverage, benefits, and reimbursement on patient accounts
Education and Experience:
- High School Diploma or Equivalent
- At least 1 year of experience in healthcare revenue cycle or business office
Computer Skills
- Intermediate Skills with Microsoft Office Suite
Job Type: Full-time
Pay: From $12.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
Schedule:
- Monday to Friday
Supplemental pay types:
- Bonus pay
Ability to commute/relocate:
- Fort Smith, AR 72908: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Microsoft Office: 1 year (Preferred)
- Customer service: 1 year (Preferred)
Work Location: In person
Salary : $12 - $-1