Denials Analyst FT

GIBSON AREA HOSPITAL • Gibson City, IL

1d • $20 - $26 • Onsite

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.

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.
• Floor to waist - 20 pounds
• 14” to waist - 30 pounds
• Waist to shoulder - 10 pounds
• Shoulder to overhead - 10 pounds
• Carry 20 pounds for 30 feet
• Push 10 pounds/force for 15 feet
• Pull 10 pounds/force for 15 feet

Nice To Haves

• Prior insurance and billing experience a plus.
• Exceptional excel skills.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED