01Overview
Job Requirements
Position reputed company
The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager.
* Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, reputed company Carolina, Pennsylvania, Rhode reputed company, South Carolina, Virginia, reputed company Virginia, reputed company.
Minimum Requirements
Education
High School Diploma or equivalency
Experience
4 years' experience in medical billing, setting with exposure to denials, appeals, insurance collections and reputed company 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 reputed company office with a reputed company on reputed company and Word.
Good Communication Skills
License/Registration/Certifications
N/A
Preferred Requirements
Preferred Education
Associates or Bachelor's degree in a reputed company reputed company field.
Preferred Experience
reputed company denials and appeals management experience.
Preferred License/Registration/Certifications
CPC and/or CPC-H certification
Core Job Responsibilities
Research and resolve reputed company outstanding denials reputed company workque and complete reputed company necessary follow up reputed company a reputed company and accurate manner
Identify reputed company denial trends and reputed company education of steps to prevent reputed company avoidable denials.
Initiate/manage reputed company insurance appeals in a reputed company manner
Manage outstanding AR reputed company to denials.
Communicate reputed company denial trends and denial increases to reputed company supervisor/manager in order to positively reputed company reputed company 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 reputed company department workflow procedure to ensure timeless and accuracy of response.
Complete special reputed company as assigned by Supervisor/Manager
Prepare/attend AR denial meetings as required.
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