Denial Management Specialist Jobs in United States United States \ Job Recruiters

Posted: 02/07/2024 Job Number: 881498 Pay Rate: $22.00 - $26.00 per year

Job Description

Essential Duties and Responsibilities:

Monitors delinquent accounts and performs collection duties.
Reviews reports, researches, and resolves issues.
Reviews payment postings for accuracy and to ensure account balances are current.
Works with co-workers to resolve insurance payment and billing errors.
Monitors and updates delinquent accounts status
Recommends accounts for collection or write-off.
Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations.
Answers patient payment, billing, and insurance questions and resolves complaints.
Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations.
Answers patient payment, billing, and insurance questions and resolves complaints.
May refer patients to Patient Benefits Representative to set up payment plans.
Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations.
Adheres to confidentiality, state, federal, and HIPPA laws and guidelines regarding patient records.
Performs other duties as requested or assigned.

Qualifications:

High School diploma or equivalent required
Minimum two (2) years combined denial management and Epic software experience required.
Demonstrate knowledge of state, federal, and third-party claims processing required.
Demonstrate knowledge of state & federal collections guidelines