Employer Industry: Healthcare Revenue Cycle Management

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Collaborative work environment focused on optimizing financial outcomes
- Chance to work with a diverse range of departments to establish best practice solutions
- Engage in meaningful work that impacts hospital revenue and patient care
- Supportive leadership with a focus on professional development

What to Expect (Job Responsibilities):
- Review technical denial claims and submit reconsiderations or appeals
- Conduct root cause analysis of denied payments through research and analysis
- Maintain relationships with third-party payers, addressing inquiries and complaints
- Collaborate with revenue cycle departments to maximize reimbursement and minimize write-offs
- Ensure accuracy in managing denied claims from a technical and billing perspective

What is Required (Qualifications):
- High school graduate with four (4) years of experience in coding, billing, insurance follow-up, collections, or denial management in a hospital/clinical setting
- Knowledge of hospital billing and reimbursement processes
- Familiarity with denials, appeals, and third-party contracts
- Strong analytical skills with attention to detail and ability to work independently
- Proficient in Microsoft Office products, including Outlook, Word, and Excel

How to Stand Out (Preferred Qualifications):
- Associate's degree or higher in a health or business-related field
- Three (3) years of experience in coding, billing, insurance follow-up, collections, or denial management in a hospital/clinical setting
- Knowledge of HIPAA guidelines and ability to interpret EOBs
- Strong research and problem-solving skills

#Healthcare #RevenueCycleManagement #DenialManagement #CareerGrowth #HealthcareIndustry

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