Denial Management Specialisty

Northside Hospital Inc. • Brookhaven, GA

3d

About The Position

The Denial Management Specialist files written appeals for claims denied by insurance carriers and contacts insurance companies by telephone to resolve denied claims and conclude payment. The specialist uses Northside’s contract summaries to verify balances due on disputed claims. The scheduled work hours are 6:00 AM–2:45 PM.

Requirements

• A bachelor’s degree or equivalent college coursework in Health Science, Bookkeeping, or Business, plus 3 years of insurance collections or accounts receivable experience; or an associate’s degree plus 4 years of experience in healthcare receivables or a related field; or 5 years of experience in healthcare receivables or a related field.
• Knowledge of healthcare receivables and collections, including denial and appeal processes.
• Good verbal and written communication skills.
• Proficiency using a calculator.

Nice To Haves

• CPAR certification.
• Knowledge of and experience with Excel.
• Experience with STAR and McKesson products.

Responsibilities

• File written letters of appeal for claims denied by insurance carriers.
• Contact insurance companies by telephone to resolve denied claims and conclude payment.
• Use Northside’s contract summaries to verify balances due on disputed claims.

What This Job Offers

• Job Type: Full-time