✓You’ll need

Education

✓High school diploma or equivalent required.

Qualifications

✓AA or 4 years of equivalent experience required.

✓Exceptional accuracy and attention to detail required.

✓Intermediate to Expert proficiency with computers is required.

✓Thorough understanding of billing process.

✓Basic understanding of coding.

✓Strong quantitative and analytical competency.

✓Self-starter with excellent interpersonal communication and problem-solving skills.

5+ years of related work experience preferred.

Experience working in the medical industry preferred.

About the role

The Denial Management Specialist position gathers, interprets, and reviews data to assess for root cause analytics to then implement process improvement to reduce denials and write offs to optimize A/R.

What you’ll do

Creates Revenue Cycle reportsCreates Revenue Cycle reports

Responsible for collecting, researchingResponsible for collecting, researching and analyzing business and operational data

Establishes definitions and criteriaEstablishes definitions and criteria for reporting avoidable denials

Perform other duties asPerform other duties as requested

General Information: Job title: Denial Management Specialist

Full-time, 80 hours per pay period; Monday-Friday, 8:00am - 4:30pm Weekend rotation: No weekends Holiday rotation: Paid Holidays

Creates Revenue Cycle reports Responsible for collecting, researching and analyzing business and operational data. Provides monitoring and trending of system denials. Works with other departments, including operational, to reduce the dollar amounts of denials and rework.

Works denials to resolution. Collaborates with other revenue cycle departments to educate on denial trends. Identifies and monitors process improvement efforts with the revenue cycle.

Establishes definitions and criteria for reporting avoidable denials. Attends workshops and seminars to maintain a high level of knowledge and capabilities related to position. Perform other duties as requested.

Position

High school diploma or equivalent required. AA or 4 years of equivalent experience required. 5+ years of related work experience preferred. Experience working in the medical industry preferred.

Exceptional accuracy and attention to detail required. Knowledge, Skills, & Abilities Intermediate to Expert proficiency with computers is required. Thorough understanding of billing process.

Basic understanding of coding. Strong quantitative and analytical competency. Self-starter with excellent interpersonal communication and problem-solving skills.