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Denial Management Specialist (REMOTE)
$53k-68k (estimate)
Full Time | Ambulatory Healthcare Services 2 Days Ago
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Physicians Regional Healthcare System is Hiring a Remote Denial Management Specialist (REMOTE)

Job Description
  • ESSENTIAL DUTIES AND RESPONSIBILITIES
    • The Specialist will monitor assigned pools and duties in Artiva, HMS, Hyland, BARRT and other host systems and applications with currency to follow up dates.
    • File appeals as needed to resolve payer denials and work with payers and monitor appeals in process. Properly track and document all denial and appeal activity.
    • Maintain working knowledge of all payer guidelines and requirements as they relate to denials and appeals.
    • Maintain BARRT requests (Outbound/Inbound) timely. Maintain all logs, account notes and system records as assigned.
    • Review and work RAC/Government Audit accounts as needed. Monitor AB rebills that are needed on RAC accounts and post recovery or denial adjustments as needed
    • Help identify issues from denials and appeals that might be avoided on future claims. Review and analyze all denial trends and issues as assigned.
QualificationsREQUIRED EDUCATION
  • Diploma or Equivalent education
Required Experience
  • Minimum 1 year experience in healthcare setting with experience in medical terminology.
  • Experience in revenue cycle processes in a hospital or physician office.
Knowledge, Skills, And Abilities
  • Intermediate knowledge of Microsoft Office tools and/or Google platforms

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$53k-68k (estimate)

POST DATE

06/01/2024

EXPIRATION DATE

06/22/2024

WEBSITE

physiciansregional.com

HEADQUARTERS

NAPLES, FL

SIZE

200 - 500

FOUNDED

1999

TYPE

Private

CEO

ROLAND WERRES

REVENUE

$200M - $500M

INDUSTRY

Ambulatory Healthcare Services

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About Physicians Regional Healthcare System

Physicians Regional Medical Center provides health care services.

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The job skills required for Denial Management Specialist (REMOTE) include Microsoft Office, etc. Having related job skills and expertise will give you an advantage when applying to be a Denial Management Specialist (REMOTE). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Denial Management Specialist (REMOTE). Select any job title you are interested in and start to search job requirements.

For the skill of  Microsoft Office
Physicians Regional Healthcare System
Remote | Full Time
$53k-68k (estimate)
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The following is the career advancement route for Denial Management Specialist (REMOTE) positions, which can be used as a reference in future career path planning. As a Denial Management Specialist (REMOTE), it can be promoted into senior positions as a Billing Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Denial Management Specialist (REMOTE). You can explore the career advancement for a Denial Management Specialist (REMOTE) below and select your interested title to get hiring information.

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