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Denial Resolution Specialist I
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Job Description
- Req#: R25110168
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Signing bonus may be available, subject to eligibility confirmation during the interview process
- Opportunity to work within a premier health system in Central Massachusetts
- Collaborative and supportive work environment with over 20,000 employees
- Chance to contribute to exceptional patient care and community healing
- Regular Monday through Friday schedule with day shift hours
- Commitment to respect and diversity within the workplace
What to Expect (Job Responsibilities):
- Review, analyze, and initiate appropriate actions for denial resolution by communicating with payers, hospital departments, and patients
- Complete necessary actions for effective appeals, including conducting authorization research and rebilling
- Correspond with third-party payers and patients to obtain required information for denial resolution
- Utilize assigned work queues and prioritization standards for denial follow-up
- Analyze and research denial reasons for each assigned denial code
What is Required (Qualifications):
- High School diploma
- Previous Revenue Cycle knowledge in areas such as Patient Financial Services, Customer Service, or 3rd party Reimbursement
- Ability to perform tasks efficiently and in a timely manner
- Strong communication and interpersonal skills
- Capacity to work collaboratively and effectively with others
How to Stand Out (Preferred Qualifications):
- One or more years of experience in healthcare billing functions
#HealthcareServices #PatientCare #RevenueCycle #CareerOpportunity #JoinOurTeam
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