Denials Management Specialist-Remote

Job RequirementsPosition Summary100% Remote Applicants must reside in one of the following states :AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, or WI.The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor / manager.Minimum RequirementsEducationHigh School Diploma or equivalencyExperience4 years' experience in medical billing, setting with exposure to denials, appeals, insurance collections and related follow-up.Must have good knowledge of ICD9 and CPT-4 codingMust have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes.Be familiar with multiple payer requirements for claims processingSolid skills with Microsoft office with a focus on Excel and Word.Good Communication SkillsLicense / Registration / CertificationsN / APreferred RequirementsPreferred EducationAssociates or Bachelor's degree in a Healthcare related field.Preferred ExperienceFocused denials and appeals management experience.Preferred License / Registration / CertificationsCPC and / or CPC-H certificationCore Job ResponsibilitiesResearch and resolve all outstanding denials within workque and complete all necessary follow up within a timely and accurate mannerIdentify all denial trends and provide education of steps to prevent future avoidable denials.Initiate / manage all insurance appeals in a timely mannerManage outstanding AR related to denials.Communicate all denial trends and denial increases to direct supervisor / manager in order to positively affect the volume of denialsOrganize 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 / ManagerPrepare / attend AR denial meetings as required.. Experience: 3 years required