What are the responsibilities and job description for the Denials Management Specialist-Remote position at Veterans in Healthcare?
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Denials Management Specialist-Remote
Location: Spartanburg, South Carolina, United States
undefined: Home Office
undefined: Business Services
undefined: Days
Job ID: P-101983
undefined: 015
widget: Full Time
undefined: 8:30am - 5:00pm
Description
Job Requirements Position SummaryThe Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager. Minimum Requirements Education
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Denials Management Specialist-Remote
Location: Spartanburg, South Carolina, United States
undefined: Home Office
undefined: Business Services
undefined: Days
Job ID: P-101983
undefined: 015
widget: Full Time
undefined: 8:30am - 5:00pm
Description
Job Requirements Position SummaryThe Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager. Minimum Requirements Education
- High School Diploma or equivalency
- 4 years' experience in medical billing, setting with exposure to denials, appeals, insurance collections and related follow-up.
- Must have good knowledge of ICD9 and CPT-4 coding
- Must have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes.
- Be familiar with multiple payer requirements for claims processing
- Solid skills with Microsoft office with a focus on Excel and Word.
- Good Communication Skills
- N/A
- Associates or Bachelor's degree in a Healthcare related field.
- Focused denials and appeals management experience.
- CPC and/or CPC-H certification
- Research and resolve all outstanding denials within workque and complete all necessary follow up within a timely and accurate manner
- Identify all denial trends and provide education of steps to prevent future avoidable denials.
- Initiate/manage all insurance appeals in a timely manner
- Manage outstanding AR related to denials.
- Communicate all denial trends and denial increases to direct supervisor/manager in order to positively affect the volume of denials
- Organize the workflow to ensure that denials are worked according to departmental policy and standards.
- Manage correspondences and any ADR requests as defined within department workflow procedure to ensure timeless and accuracy of response.
- Complete special projects as assigned by Supervisor/Manager
- Prepare/attend AR denial meetings as required.
Get notified for similar jobs
Sign up to receive job alerts
Email address
Get tailored job recommendations based on your interests.
Similar jobs
Denials Management Specialist-Remote
Location : Spartanburg, South Carolina, United States
Job ID : P-101984
The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager. Focused denials and appeals management experience. Manage outsta...
Insurance Billing Specialist- In Person
Location : Spartanburg, South Carolina, United States
Job ID : P-101552
Must have had at least 4 years electronic billing and/or billing editing experience in a hospital and/or physician office setting. Responsible for all pre-bill edits and claim scrubber edits for accur...
Rep-Patient Access-Rural Health
Location : Union, South Carolina, United States
Job ID : P-101919
The Patient Access Representative position receives, coordinates and implements the initial patient experience by providing critical functions essential to ensuring proper clinical treatment, billing...
Life at Company
While you put your talent and heart into patient care, we ensure that you have the support you need for a healthy career and future.
At Spartanburg Regional Healthcare System, we offer the training and coaching you need to succeed and opportunities to grow in your profession.
Whether you're a seasoned professional or a new grad, we've created a solid foundation to ensure you will succeed with us.
Share the opportunity
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