Physician Denial Managment Specialist
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Job Location:
Atlanta, GA - USA
Monthly Salary:
Not Disclosed
Posted on:
3 days ago
Vacancies:
1 Vacancy
Job Summary
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:
Weekend Requirements:
On-Call Requirements:
Required Experience:
IC
Key Skills
- EMR Systems
- Post Residency Experience
- Occupational Health Experience
- Pain Management
- SOAP
- Primary Care Experience
- Medical Management
- Suturing
- Workers' Compensation Law
- Pharmacy Residency
- Botox Experience
- Epic
About Company
Join Atlanta’s most preferred hospital for a rewarding and purposeful career. See trending jobs and learn more now.
