What are the responsibilities and job description for the Physician/Hospital Denials Recovery Specialist position at Moffitt Cancer Center?
Position Highlights :
Responsible for the coordination and management of timely insurance claim follow-up including identifying, monitoring, appealing, and resolving denied claims. Perform detailed analysis on denied claims with a focus on maximizing revenue
The Ideal Candidate :
In depth knowledge of Medicare and Medicaid regulations, third party reimbursement guidelines.
Computer literate, knowledge of financial data analysis, intermediate Excel skills.
Preferred – Physician claims experience in a multi-specialty environment, preferably with oncology and / or surgical experience.
Responsibilities :
Follow-up electronically and / or telephonically with payors for claim and appeal status.
Make a preliminary determination whether denial can be overturned and if initial or secondary appeals should be submitted.
Research and prepare responses for payor requests for additional information and documentation.
Review of non-clinical denials including identification of root cause.
Resolve non-clinical denials which include researching and reviewing payor guidelines, writing and submitting appeals with supporting documentation if required.
Other duties as assigned.
Credentials and Qualifications :
Associate degree required.
A minimum of three (3) years’ experience working with medical claims in a hospital, physician, payor or third-party medical billing service setting with collection experience.
in lieu of" Associate's, a H.S. Diploma with two (2) years of additional related claims / collection experience (total of 5) may be considered.
Keep a pulse on the job market with advanced job matching technology.
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution.
Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right.
Surveys & Data Sets
What is the career path for a Physician/Hospital Denials Recovery Specialist?
Sign up to receive alerts about other jobs on the Physician/Hospital Denials Recovery Specialist career path by checking the boxes next to the positions that interest you.
Not the job you're looking for? Here are some other Physician/Hospital Denials Recovery Specialist jobs in the Tampa, FL area that may be a better fit.
We don't have any other Physician/Hospital Denials Recovery Specialist jobs in the Tampa, FL area right now.
