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Remote Job- Denials Management Specialist

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sharris8888

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Campobello, SC
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Knowledge of Epic medical system is a plus!
Position Summary

The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager.

Core Job Responsibilities

  • Research and resolve all outstanding denials within workque and complete all necessary follow up within a timely and accurate manner
  • Identify all denial trends and provide education of steps to prevent future avoidable denials.
  • Initiate/manage all insurance appeals in a timely manner
  • Manage outstanding AR related to denials.
  • Communicate all denial trends and denial increases to direct supervisor/manager in order to positively affect the volume of denials
  • Organize the workflow to ensure that denials are worked according to departmental policy and standards.
  • Manage correspondences and any ADR requests as defined within department workflow procedure to ensure timeless and accuracy of response.
  • Complete special projects as assigned by Supervisor/Manager
  • Prepare/attend AR denial meetings as required.
 
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