What are the responsibilities and job description for the Denial Management Specialist - Revo Health position at Revo Health?
Description
The Patient Financial Services Specialist is responsible for efficiently working accounts receivable for the organization.
This is a remote, full-time position working M-F during our core business hours, 8 : 00 am - 4 : 30 pm central time.
Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.
Essential Functions :
- Ensure professional communication with patients, clinic personnel, and outside vendors over the phone, via email or other written documentation and respond to all inquiries
- Maintain a working knowledge of health care plan requirements and health plan networks
- Verify and document insurance information as defined by current business practices
- Accurately post all payments received from patients, attorney offices and / or insurance companies
- Review Explanation of Benefits (EOB), research denials, rejections and / or excessive reductions
- Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes
- Prepare, submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy
- Make outbound phone calls to patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
- Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
- Review and work any credit balances to determine if patient and / or insurance company refund is applicable
- Any and all other duties as assigned
Education and Experience Requirements :
Benefits & Compensation :
Actual starting pay will vary based on education, skills, and experience.
We offer a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts - to learn more click here .
Essential Requirements :
Ability to :
Performance Expectations - Revo Health's Core Values :
Environmental Conditions :
Notes :
Denial Management Specialist