AdventHealth
Denials Management Specialist Remote - (Job Number: 24000963)
This job is now closed
Job Description
- Req#: 597986
Employer Industry: Healthcare
Why Consider this Job Opportunity:
- Benefits from Day One
- Career Development opportunities
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
- Remote work opportunity
- Opportunity to work for a purpose-minded team
What to Expect (Job Responsibilities):
- Analyze payer account reconciliation discrepancies and identify variance causes
- Maximize expected reimbursement for managed care contracts by recognizing payer trends
- Provide outstanding customer service and maintain relationships with patients and insurance companies
- Conduct research on claims, review contract discrepancies, and amend data as necessary
- Defend and appeal denied claims, including researching root causes and collecting required information
What is Required (Qualifications):
- High school diploma or equivalent
- 1+ years' experience in billing, A/R follow up, and/or denials management & appeal writing
How to Stand Out (Preferred Qualifications):
- Advanced degree in any field of study
- Comfort with interpreting payer contractual language
- Ability to navigate payer website/portals for remittance research
- Experience in healthcare claims processing and proficiency with medical billing and remittance forms
- Technical proficiency within Patient Accounting systems and denial management workflow technology
#Healthcare #RemoteWork #CareerDevelopment #CustomerService #AppealWriting
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. 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
AdventHealth is a Seventh-day Adventist non-profit health care system headquartered in Altamonte Springs, Florida, that operates facilities in 9 states across the United States.
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