2 Denials Specialist Jobs in Whitefield, NH
North Country Healthcare - REVENUE CYCLE is Hiring a Denials Specialist Near Whitefield, NH
Job Summary:
TheDenial Specialist’s role is vital to ensure that hospital-denied accounts arethoroughly reviewed for any opportunity to correct, refile and or appeal claimsfor re-processing and reimbursement. The role also includes review and reworkof all types of PFS denials. Good writing and analytical skills are a must.
Essential Functions:
1. Review and manage daily PFSdenials, ensuring timely completion.
2. Monitor A/R days to meet managementexpectations.
3. Identify denial trends, report to thesupervisor, and suggest solutions.
4. Handle insurance calls, aidingissue resolution and data retrieval.
5. Foster communication with payorsand the team for claim resolution.
6. Validate coding accuracy using CAC tools.
7. Address third-party denials perpayer guidelines and file appeals.
8. Write off denials as needed after athorough review.
9. Complete assigned projects andresearch and prepare Denial reports for the System Director of Revenue Cycle.
10. Foster professional growth throughparticipation in in-service meetings and educational programs.
11. Ensure strict adherence toconfidentiality policies and job-related procedures.
12. Refer complex or sensitive issuespromptly to higher management for resolution.
13. Report any irregularities in cashor denial posting processes to the Billing Director.
14. Demonstrate adaptability byaccepting and learning new tasks as needed.
15. Support departmental efficiency byassisting colleagues with daily tasks and special projects.
Essential Requirements: Associates Degree required, Bachelors in Healthcare Administration or Finance preferred. Certified Revenue Cycle Representative preferred. Proficiency with Meditech Expanse & InovalonClearing House preffered.
North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. North Country Healthcare is an equal-opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to the Human Resources department at the affiliate to which you are applying.About North Country Healthcare (NCH):
Job Summary
Full Time
$41k-51k (estimate)
06/02/2024
07/31/2024
The job skills required for Denials Specialist include Billing, etc. Having related job skills and expertise will give you an advantage when applying to be a Denials Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Denials Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Denials Specialist positions, which can be used as a reference in future career path planning. As a Denials Specialist, it can be promoted into senior positions as a Collections Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Denials Specialist. You can explore the career advancement for a Denials Specialist below and select your interested title to get hiring information.
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