Collections & Denials Management Representative

Rochester Regional Health

5d • $21 - $30 • Onsite

About The Position

The C & D specialist is responsible for reviewing accounts which have been denied or underpaid by third party payers and to resolve the issues resulting in denial/underpayment and to formally appeal. The specialist will conduct comprehensive reviews of clinical documentation to determine if an appeal is warranted.

Requirements

• Experience in medical billing
• Experience in medical claims processing
• Experience in accounts receivable collections
• Ability to learn and understand medical billing protocol and reimbursement issues
• Ability to work within Meditech and Emdeon
• Ability to identify denial trends
• Ability to locate and monitor overdue third party accounts
• Ability to work within tight deadlines
• Ability to analyze and trouble shoot billing concerns
• Ability to communicate concerns with management

Responsibilities

• Basic knowledge of medical billing, medical claims processing and accounts receivable collections.
• Ability to learn and understand medical billing protocol and reimbursement issues.
• Work within Meditech and Emdeon to identify denial trends.
• Locating and monitoring overdue third party accounts preventing write off.
• Analyzing and troubleshooting billing concerns.
• Communicating concerns with management.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed