Job Specifics
- Location : 2020 S Webster Ave, Green Bay, WI 54301
- Hours : 40 hours / week Monday-Friday : 8-4 : 30pm
Job Description :
Responsible for resolving denials including but not limited to, medical necessity, timely filing, CCI Edits and provider enrollment using critical thinking, analytical skills, and appropriate decision making to resolve accounts. Applies pertinent policies, protocols, and processes in problem solving but has the ability to respond to unique cases in which clear policy and procedures are not always established. Maintains a thorough knowledge of carrier policies, direct contracts, subscriber benefits, non-covered services, coding, diagnosis issues, and accounts receivable. In addition to drafting appeals, must be able to identify denial trends and determining root cause. A high degree of professionalism and accuracy regarding written and verbal communication between internal and external customers is expected.Qualifications :
High school diploma and Associate or Bachelor's degree in business, health care business administration, or medical-related field preferred.Minimum of one to two years insurance / medical billing office experience or an Associate or Bachelor's degree in a business or medical related field required.Why Bellin Health :
With so many amazing healthcare organizations in this area, why Bellin?
Bellin Health offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!
Additional perks include :
Top-notch benefits : 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and morePreventative care focused medical coverage that includes free visits to : Bellin primary care providers, Urgent Care & Fast Care facilities, physical therapy sessions and any labs required during these visitsAccess to online continuing education for professional and career developmentEmpowerment to shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth.Culture that encourages self-care and provides you with opportunities to be your best self at work and at homeBe a member of a passionate workforce, that feels like family and is driven to provide exceptional patient care with a strong focus on community.We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork and humility - our pillars set our foundation and our future.
Bellin Health is an Equal Opportunity Employer.
