Claims - Patient Accounting Denials Specialist

Presbyterian Healthcare ServicesHealthcare revenue cycle

Remote Workers New MexicoFull-TimeMiddle

Salary16.66 - 26.7 USD per year

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Job Details

Experience: Minimum two years experience in insurance follow-up, billing, and collections.
Required Skills: Microsoft Office SuiteEHR

Have a high school degree or GED.
Have short-term training in insurance collections and claims processing.
Have a minimum of two years of experience in insurance follow-up, billing, and collections.
Be able to communicate effectively by telephone and in writing.
Be computer literate, with knowledge of electronic health records, claims clearinghouses, FISS/DDE, payer portals, and Microsoft Office Suite.
Be able to prioritize and manage a high-volume workload in a fast-paced environment.
Be able to adapt to changing payer regulations and requirements.
Work effectively in a team environment.

Perform denial follow-up for assigned payors using work queues.
Submit corrected claims, reconsiderations, and appeals to overturn denials.
Provide insurance companies with requested information, including medical records and itemized statements.
Follow established processes to ensure timely follow-up on outstanding denials.
Document accounts in accordance with established policies and procedures.
Reconcile daily activities.
Participate in team meetings and communicate work-related ideas and concerns.
Maintain professional working relationships with team members, departments, and outside agencies.

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