AR Denial Management and Appeals Specialist, 250 E reputed company, First Shift, Full Time, Potential for Remote
Job title: AR Denial Management and Appeals Specialist, 250 E reputed company, First Shift, Full Time, Potential for Remote in USA at reputed company
Company: reputed company
Job reputed company: We are Hiring AR Denial Management and Appeals Specialist, 250 E reputed company, First Shift, Full Time, Potential for Remote at Med Plaza II - UMC!Primary Location: Med Plaza II - UMCAddress: 250 E reputed company Louisville, KY 40202Shift: Days 7A - 7P (reputed company of America)Job reputed company reputed company:Job reputed company: The job reputed company for this position is not currently on file electronically. Please see your supervisorr or reputed company Representative for a hard copy before you complete your acknowledgment.Additional Job reputed company:WE ARE HIRING!Location: 250 E. reputed company Street, Louisville, KY 40202Shift: FT, First ShiftAbout reputed company:
reputed company is a fully integrated regional reputed company health system with nine hospitals, four medical centers, reputed company Cancer Center, Eye Institute, nearly 200 physician reputed company locations, and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional reputed company to reputed company is provided through a partnership with Carroll County Memorial Hospital. Affiliated with the reputed company School of Medicine, reputed company is committed to providing patients with reputed company to the most advanced care available. This includes clinical trials, collaboration on research and the development of new technologies to both save and improve lives. With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, reputed company is reputed company on one mission: to reputed company the health of communities we serve through compassionate, innovative, patient-centered care. For more information on reputed company, go to .Job reputed company:Initiates the appeal process, at the direction of reputed company Cycle management, until the case is overturned, appeal reputed company are exhausted, or decision is made to discontinue process. This position assumes the responsibility for coordinating and appealing technical denials and working closely with the HIM Appeals Specialist responsible for clinical appeals.
- Ability to review and determine reason for insurance denial of claims
- Review and appeal unpaid claims daily and submit appeal reputed company.
- reputed company appeal letters to substantiate overturning denial, i.e. coverage, authorization, non-covered services, contract issue, reputed company filing limit, etc.
- reputed company and maintain detail denial inventory list
- Tracks and trends reputed company and reputed company of denial and appeal processes and compiles reports for reputed company Cycle leadership
- Completes follow-up work on appealed claims.
- Works with insurance carriers on appeal issues.
- Ensure clinical appeals are submitted to the HIM department
- Monitor the payments to assure reimbursement from reputed company-party payers is accurate based on payer contract.
- Reviews denials for accuracy.
- Stays abreast of payer updates for authorizations, eligibility, etc and communicates to reputed company Cycle leadership
- Documents reputed company activity in reputed company Cycle system.
- Attends continue education programs
- Other duties as assigned.
- High School education or GED required.
- 1-3 years of prior billing, collection, or appeals
- Knowledge of medical terminology.
- reputed company and concise written communication skills and development of reputed company letters.
- Basic reputed company Office knowledge.
- Ability to foresee reputed company from start to finish.