Hospital Patient Accounting Denials Specialist
Hospital Patient Accounting Denials Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Now hiring a Hospital Patient Accounting Denials Specialist
Responsible for root cause analysis and next step resolution of denials. Performs a variety of duties including A/R followup appeals customer service processing of correspondence and daily reconciliation of activities.
How you belong matters here.
We value our employees differences and find strength in the diversity of our team and community.
At Presbyterian its not just what we do that matters. Its how we do it and it starts with our incredible team. From Information Technology to Food Services and beyond our nonclinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us
- Full Time Exempt: No
- Job is based at Rev Hugh Cooper Admin Center
- Remote work from home: this job is intended to be conducting in the state of New Mexico.
- Work hours: Days
- Benefits: We offer a wide range of benefits including medical wellness program vision dental paid time off retirement and more for FT employees.
Qualifications
- High school degree or GED required shortterm training on insurance collections and claims processing. Minimum two years experience in insurance followup billing and collections. Demonstrated ability to communicate effectively via telephone and in writing and be computer literate.
- Must be passionate about being part of an organization focused on continuously improving patient experiences and the health of our community.
- Experience with Microsoft Office Suite products preferred. Excellent organizational problemsolving verbal and written communication skills along with attention to detail and the ability to interact effectively with other functional areas and management teams are required.
- Must have a strong work ethic and demonstrated ability to work effectively in a team environment.
- Must be able to prioritize and manage a highvolume workload and be able to work in a fastpaced environment and contend with continually changing payer regulations and requirements.
Responsibilities
- Performs denial followup activities for assigned payors utilizing work queues.
- Submits corrected claims reconsiderations and/or appeals to overturn denials.
- Responsible for providing any information (medical records itemized statements etc.) requested by insurance companies to process claims and overturn denials.
- Must follow process/procedures to ensure timely follow up on outstanding denials.
- Document accounts in accordance with established PHS policies/procedures.
- Knowledgeable in various computer systems (i.e. Electronic Health Record claims clearinghouse FISS/DDE Payer portals Microsoft Office Suite.)
- Must utilize communication skills to be an effective team member.
- Must actively participate in team meetings and take a proactive approach to communicate work related ideas and concerns.
- Must develop and maintain professional work relationships with team members PHS departments and outside agencies.
- Maintains strictest confidentiality adheres to all HIPAA and CMS compliance rules and regulations.
- Perform other duties as assigned by the Denial Supervisor and/or Manager.
Benefits
All benefitseligible Presbyterian employees receive a comprehensive benefits package that includes medical dental vision shortterm and longterm disability group term life insurance and other optional voluntary benefits.
Wellness
Presbyterians Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your wellbeing. Earn gift cards and more by taking an active role in our personal wellbeing by participating in wellness activities like wellness challenges webinar preventive screening and more.
Why work at Presbyterian
As an organization we are committed to improving the health of our communities. From hosting growers markets to partnering with local communities Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients members and the communities we serve. We are locally owned notforprofit healthcare system of nine hospitals a statewide health plan and a growing multispecialty medical group. Founded in New Mexico in 1908 we are the states largest private employer with nearly 14000 employees including more than 1600 providers and nearly 4700 nurses.
Our health plan serves more than 580000 members statewide and offers Medicare Advantage Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drugfree and tobaccofree employer with smoke free campuses.
Maximum Offer for this position is up to
Compensation Disclaimer
Required Experience:
Unclear Seniority
Employment Type
Full-Time
