You’ll need
Certifications
✓None required upon hire
Education
✓High School Diploma or equivalent required
Qualifications
✓Advanced knowledge of insurance denial management and resolution processes
✓Ability to identify trends and report recurring issues
✓Proficient in EMR systems and knowledgeable in HIPAA compliance requirements
✓Strong analytical, communication, and collaboration skills
✓Equivalent includes completion of secondary education or demonstrated ability to perform the essential functions of the role
✓Minimum of three (3) years of physician billing experience required
Minimum of three (3) years of experience with Rural Health Clinic (RHC) or Provider-Based Billing preferred
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About the role
Step into a meaningful role at Logan Regional Medical Center , a 132-bed facility located in southern West Virginia. Logan Regional is an award-winning, full-service community hospital with a history of innovation, from its one-of-a-kind Rural General Surgery residency program to its collaboration with Marshall Health Network to bring more opportunities for specialty care to the area.
What you’ll do
Analyze insurance denials andAnalyze insurance denials and rejections
Initiate and process appealsInitiate and process appeals as appropriate
Troubleshoot account issues, includingTroubleshoot account issues, including demographic discrepancies and authorization concerns
Process and reconcile refundProcess and reconcile refund requests and banking deposits
Review and interpret explanationReview and interpret explanation of benefits (EOBs) for accurate payment posting