UMass Memorial Health Care
Denial Resolution Specialist I
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Job Description
- Req#: R25110168
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary range from $19.10 to $30.14, with a potential signing bonus
- Opportunity for career advancement and growth within the organization
- Monday through Friday schedule with day shift hours (8 a.m. - 4:30 p.m.)
- Collaborative work environment focused on exceptional patient care
- Chance to contribute to a leading health system in Central Massachusetts
What to Expect (Job Responsibilities):
- Review, analyze, and initiate actions for denial resolution by communicating with payers, hospital departments, and patients
- Complete necessary actions for effective appeals, including authorization research and rebilling
- Correspond with third-party payers and patients to gather required information for denial resolution
- Utilize assigned work queues to prioritize and follow up on denial resolutions
- Analyze and research denial reasons for assigned denial codes
What is Required (Qualifications):
- High School diploma required
- Previous Revenue Cycle knowledge in areas such as PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding, or 3rd party Reimbursement
- Ability to perform tasks efficiently and in a timely manner
- Strong collaboration and interpersonal skills
- Exceptional communication skills
How to Stand Out (Preferred Qualifications):
- One or more years of experience in healthcare billing functions
#HealthcareServices #PatientCare #CareerOpportunity #RevenueCycle #HealthcareBilling
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
UMass Memorial Health Care is the clinical partner of the University of Massachusetts Medical School and the largest healthcare system in Central and Western Massachusetts.
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