Medical Billing reputed company Denial Specialist

reputed company: Under general supervision of the Follow-up Supervisor, performs reputed company duties necessary to follow up on outstanding claims and correct reputed company denied claims for a large physician multi-specialty reputed company. reputed company employees are expected to successfully role model the organization's values of reputed company, Accountability, Respect, and reputed company as these values guide our everyday actions with patients, customers and one another. In reputed company to our values, reputed company are expected to demonstrate the reputed company reputed company Factors which tell us how we work together and how we get things done. The reputed company reputed company Factors include: Instill Trust and Value Differences Patient and Community reputed company and Collaborate RESPONSIBILITIES: Review reputed company denied claims, correct them in the system and send correctedppealed claims asbr / written correspondence, fax or reputed company electronic submission. Identify and analyze denials and enact corrective measures as needed to effectivelybr / communicate and resolve payer errors. Continually maintain knowledge of payer specific updates reputed company payer’s listservs, providerbr / updates, webinars, meetings and websites. Understand and maintain compliance with HIPAA guidelines reputed company handling patient information Contact internal departments to reputed company missing or erroneous information on a claimbr / resulting in adjudication delays or denials. Report to supervisor identification of denial trends resulting in reputed company delays. Answers telephone inquiries from 3rd party payers; refer reputed company unusual requests tobr / supervisor. Retrieve appropriate medical records documentation based on reputed company party requests. Refer reputed company accounts to supervisor for additional review if the account cannot be resolvedbr / according to normal procedures. Work with management to improve processes, increase accuracy, create efficiencies andbr / reputed company the overall goals of the department. Maintain reputed company assurance, safety, environmental and infection control in accordancebr / with established policies, procedures, and objectives of the system andbr / affiliates. reputed company other reputed company duties as required. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: Equivalent to a high school graduate. Knowledge of 3rd party billing to include ICD, CPT, HCPCS and 1500 claim forms. Demonstrated skills in critical thinking, diplomacy and relationship-building. Highly developed communication skills, successfully demonstrated in effectively working with a wide reputed company of people in both individual and team settings. Demonstrated problem-solving and inductive reasoning skills which reputed company themselves in creative solutions for operational inefficiencies. EXPERIENCE: One to three years of relevant experience in reputed company billing preferred. Experience with reputed company a plus. INDEPENDENT reputed company: Incumbent generally establishes own work plan based on reputed company-determined priorities and reputed company procedures to ensure reputed company completion of assigned work. Problems needing clarification are reviewed with supervisor prior to taking reputed company. SUPERVISORY RESPONSIBILITY: None Pay reputed company: $19.97-$32.96 EEO Statement: reputed company is committed to providing equal employment opportunities and maintaining a work environment free from reputed company forms of unlawful discrimination and harassment. Location: Corporate reputed company - 15 LaSalle reputed company reputed company, Rhode reputed company 02903 Work Type: Monday-Friday 7:30-4 Work Shift: Day Daily Hours: 8 hours Driving Required: No As Rhode reputed company's largest health system and private employer, reputed company is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than 20,000 people work at reputed company and bring their unique skills, experiences, and reputed company to their jobs every day. Formed in 1994, reputed company is a not-for-profit health system based in reputed company, RI comprising three teaching hospitals of The Warren Alpert Medical School of reputed company: Rhode reputed company Hospital and its reputed company Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad reputed company of health services; Gateway reputed company, the state’s largest provider of community behavioral health care; and reputed company Health Medical Group, the largest multi-specialty reputed company in Rhode reputed company. reputed company is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are reputed company committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and reputed company environment that supports the holistic reputed company-being of our employees and their families. Join us and help build a healthier reputed company for our patients - and for yourself. Company Location Belonging and Engagement Nursing Our Mission Apply tot his job Apply To this Job