Denials Analyst - FT
About The Position
To assist, investigate and correct denied claims of Medicare, Medicaid, Commercial Insurance and Private pay accounts receivable. There will be phone and email interaction with Third Party Payers, family members and patients whom we are needing to obtain correct and up to date insurance information in order to resubmit denied claims. Looking for a highly organized individual with exceptional excel skills. Prior insurance and billing experience a plus. GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT To provide personalized, professional healthcare services to the residents of the communities we serve.
Requirements
- High school graduate or equivalent.
- Ability to deal with the public in a pleasing and efficient manner.
- Skill with computer application and other office equipment
- Ability to speak clearly and concisely
- General knowledge of mathematics and accounting principals
- Ability to establish and maintain effective working relationships with patients, employees, and the public
- Good communication skills to obtain patients missing information in order to bill claims.
- Requires analytical skills to evaluate claims for errors in billing and payment from payers.
- Knowledge of Patient Rights.
- All other duties as assigned by the Clinical Denial Manager.
Nice To Haves
- Prior insurance and billing experience a plus.
Responsibilities
- Daily claim denial auditing recorded in excel sheets
- Monthly denial reports worked then sent to clinics for review.
- Prepare training material in relation to denied claims to ensure reduction of denied claims.
- Work denials from beginning to end including rebills when necessary.
- Additional duties assigned by Clinical Denials Manager.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
