Denial Specialist
Amery Hospital & Clinic•Saint Paul, MN
•$20 - $30
About The Position
The Denial Specialist ensures that insurance and other third-party claims are submitted and/or paid in a timely manner and comply with applicable regulations and payer requirements. Assignments may include pre-adjudication and/or follow-up, facility and/or professional claims, and commercial and/or government payers. Effective performance supports strong organizational cash flow and patient satisfaction.
Requirements
- Strong attention to detail and demonstrated problem-resolution skills.
- Effective verbal and written communication skills.
- Moderate proficiency with personal computers, word processing, spreadsheets, and email.
- Working knowledge of typical office equipment.
Nice To Haves
- Experience in a health care revenue cycle environment.
- Ability to acquire and retain complex knowledge of department and company processes, government policy and regulation, and payer requirements.
- Knowledge of medical terminology and procedural/diagnostic coding, including CPT and ICD.
- Proficiency with health information systems such as Epic.
- Preference for Microsoft Suite.
Responsibilities
- Ensure insurance and other third-party claims are submitted and/or paid in a timely manner.
- Ensure claims comply with applicable regulations and payer requirements.
- Perform assigned pre-adjudication and/or claims follow-up.
- Work with facility and/or professional claims and commercial and/or government payers.
Benefits
- Medical insurance
- Dental insurance
- Retirement program
- Time away from work
- Insurance options
- Tuition reimbursement
- Employee assistance program
- Onsite clinic
- Health and time-off benefits
- Retirement planning
- Continuous learning opportunities
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
