Denial Management Specialist- Physician

Overview

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities

Follows up on unprocessed or denied insurance claims through extensive phone, fax, and written correspondence with payors and pricing agencies. Works with physician offices and billing office employees to resolve any outstanding claim issues. Ensures correct reimbursement rates are paid on claims based on current client contracts. Utilizes knowledge of the revenue cycle and patient accounts to maximize reimbursements. Abides by and promotes HIPAA compliance at all times.

Qualifications

REQUIRED:

1. 1 year insurance collections/ AR receivables experience or 2 years of customer service/ banking/ accounting experience 2. Good verbal and written communication skills. 3. Basic computer skills, including the Microsoft Office Suite 4. Basic reading, writing, and arithmetic skills PREFERRED:

5. Knowledge of healthcare receivables and collections, including denial and appeal processes. 6. Understanding of the healthcare revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use insurance company websites

Work Hours: