Denials Specialist - Full-Time Days

Phoebe Putney Health System•Albany, GA
•Onsite

About The Position

Processes and monitors follow-up on denied accounts, including disputes, appeals, and grievances with insurance payors, governmental payors, and state agencies. All activities are performed in support of Phoebe’s strategy, vision, and values and must comply with applicable Equal Employment Opportunity laws, HIPAA, ERISA, and other regulations. Management may assign or reassign duties and responsibilities at any time. A two-year associate degree in Business Administration or a closely related field is required. In lieu of an associate degree, candidates may qualify with at least five years of Revenue Cycle experience that includes patient accounting. The role requires two to three years of experience in patient accounting functions within the revenue cycle. CPAR Certification must be obtained within 20 months of hire.

Requirements

  • Associate degree in Business Administration or a closely related field, or at least five years of Revenue Cycle experience including patient accounting.
  • Two to three years of experience in patient accounting functions of the revenue cycle.
  • Obtain CPAR Certification within 20 months of hire.

Nice To Haves

  • Five or more years of Revenue Cycle experience concentrated in Patient Accounting, including billing, follow-up, denials, and denial recovery.

Responsibilities

  • Process and monitor follow-up on denial accounts.
  • Handle disputes, appeals, and grievances with insurance payors, governmental payors, and state agencies.
  • Perform activities in compliance with applicable regulations and in support of Phoebe’s strategy, vision, and values.
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