- Reviews denied claims to determine appropriate course of action.
- Interacts with payers to determine true reason for denial and inquire on what corrections need to be made.
- Works with the coding team when necessary to make coding changes to submit corrected claims or appeals.
- Creates a case for the appeal stating the deficiencies and the resolution.
- Takes ownership for the quality and timeliness of work and achieves the desired results.
- Stays current with payer trends for submitting corrected claims and appeals.
- Maintains strict confidentiality regarding Patient Health Information (PHI) as well as follows HIPAA regulations.
- Identifies billing trends (i.e. claim format, denials, and payment issues).
- Other duties as assigned.
- Financial Management
- Ethical Conduct
- Thoroughness
- Stress Management/ Composure
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Denial Specialist - Colorado Springs, United States - Envision Radiology
Description
Envision Radiology is looking for a Remote Full Time Denial Specialist to join our teamOpen to AL, AZ, CO, FL, ID, LA, MO, NE, NC, OK, TX, UT, VA, WA & WI Markets.
40 hours/week Monday - Friday |
Position Pay Range Pay Range:
$ $21.85
Summary/Objective:
The Denial Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims.
Essential Functions
Competencies
This position has no supervision responsibilities.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel or operate objects, tools or controls, and reach with hands and arms.
Travel
No travel is expected for this position.
Job Qualifications
Minimum Qualifications/Experience:
Detail oriented, self-motivated, a problem solver and a team player
Minimum of 2 years' experience working in medical billing denials
Knowledge of EOBs
Ability to navigate multiple computer screens and browsers quickly and accurately
Ability to excel in a very fast-pace team environment
Ability to continuously "exceed" company and customer expectation
Strong communication skills & professional demeanor
Education/Certifications:
Minimum of High School diploma or equivalent (GED)-Continuing education preferred
Additional Eligibility Qualifications
None required for this position.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
Compliance
Adheres to Envisions Code of Conduct and Compliance Policies and attends annual Compliance training as set forth by the Company.
Below is a list of benefits that are offered to employees, once eligibility is met.
Health Benefits:
Medical/Dental/Vision/Life Insurance
Company Matched 401k Plan
Employee Stock Ownership Plan
Paid Time Off + Paid Holidays
Employee Assistance Program
OSHA Exposure Rating: 1
It is reasonably anticipated
NO
employees in this job classification will have occupational exposure to blood and other potentially infectious body fluids.
Envision Radiology is an equal opportunity employer (M/F/D/V).
We recruit, employ, train, compensate and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by application federal, state or local law.
Applications accepted until 4/12/24#J-18808-Ljbffr