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Denial Resolution Specialist

  • Ref: 291103
  • Type: Option-to-Hire
  • Location: White Plains, NY
  • Industry: Hospitals
  • Job Level: Entry Level
  • Pay: $16.00 - $18.00/hr

Opportunity Description

The Denials Specialist is responsible for providing various support within the Medical Billing Department. This position involves collecting and managing accounts, following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims when appropriate, and following up on all denials to ensure reprocessing and payment in a timely manner.

Job Duties

  • Document accounts worked in system
  • Responsible for submission of appeals to third party payers to recover additional revenue
  • Investigate payer rejections and denials
  • Work all denials that pertain to including but not limited to, Duplicate Claim, Timely Filing, EOB requests, Not Medically necessary denials, COB denials
  • Responsible for reviewing and trending of denial issues, identify root cause and bring accounts to final resolution

Education

  • High School Degree required

Experience & Skills Required

  • Previous hospital billing / follow-up / denials experience
  • Must be proficient with computer systems
  • Medical terminology helpful