|Employer:||University of Colorado Medicine
|Required Experience:||3 to 4 years
|Location:||13199 E. Montview Blvd Aurora 80045, AA, US
CU Medicine is dedicated to providing
healthcare and administrative support to the University Of Colorado School Of
Medicine’s nearly 3,000 providers. We are seeking a highly motivated Surgical
Appeals & Coding Specialist (Denial Specialist) to join our team.
The Surgical Appeals & Coding Specialist (Denial
Specialist) is primarily responsible for resolving all insurance claim denials for
assigned specialty departments to enhance revenues for CU Medicine providers. The
individual in this position will generate effective written appeals to carriers
using well-researched logic. Utilize a multitude of resources to ensure correct
appeal processes are followed. Account investigation may be quite extensive and
complex. Denial Specialists are independently accountable for the denial
resolution for their assigned divisions.
Duties and responsibilities include but are not
limited to the following:
denials through coding review, contract review, medical record review and
a high level of expertise in the management of complicated denied claims.
analytical approach to resolve denials and recognize trends/patterns in
order to proactively resolve recurring issues.
identified denial patterns to management.
and process large volume of denials and maintain high quality of work.
as an escalation point for unresolved denial issues.
team members of payer policy changes.
in training new employees as assigned.
on special projects as needed.
Requires 3-5 years experience in medical
practice billing with exposure to working with denials, appeals, insurance
collections and related follow-up; bachelor’s degree in a related field is
strongly preferred. Must have ICD-10 and
CPT coding assessment skills, CPC certification is preferred. Intermediate PC software experience required.
Advanced verbal and written
communication skills are essential. Must
demonstrate a solid understanding and ability to apply contract language in
conjunction with a comprehensive understanding of claims denial appeal logic.
TO APPLY FOR THIS POSITION, please
visit our website at www.CUMedicine.us. Reference
job #342. All applications MUST be submitted via our website.
CU Medicine is dedicated to ensuring a
safe and secure environment for our staff and visitors. To assist in achieving
that goal, we conduct background investigations for all prospective employees
prior to their employment. Additionally, drug and health screenings may be required
for some positions. We are an equal opportunity employer.
CU Medicine supports a Tobacco Free
Workplace Environment which prohibits smoking and the use of tobacco products
on CU Medicine property, Anschutz Medical Campus and adjacent business