Denial Management Specialist (REMOTE)

Revenue Cycle Service Center
Remote in Antioch, TN Full Time
POSTED ON 3/19/2022 CLOSED ON 12/11/2022

Job Posting for Denial Management Specialist (REMOTE) at Revenue Cycle Service Center

  • The Specialist will monitor assigned pools and duties in Artiva, HMS, Hyland, BARRT and other host systems and applications with currency to follow up dates.
  • File appeals as needed to resolve payer denials and work with payers and monitor appeals in process. Properly track and document all denial and appeal activity.
  • Maintain working knowledge of all payer guidelines and requirements as they relate to denials and appeals.
  • Maintain BARRT requests (Outbound/Inbound) timely. Maintain all logs, account notes and system records as assigned.
  • Review and work RAC/Government Audit accounts as needed. Monitor AB rebills that are needed on RAC accounts and post recovery or denial adjustments as needed
  • Help identify issues from denials and appeals that might be avoided on future claims. Review and analyze all denial trends and issues as assigned.

Required Education: Diploma or Equivalent education

Required Experience: Minimum 1 year experience in healthcare setting with experience in medical terminology. Experience in revenue cycle processes in a hospital or physician office.

Required License/Registration/Certification: none

Computer Skills Required: Intermediate knowledge of Microsoft Office tools and/or Google platforms

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Salary.com Estimation for Denial Management Specialist (REMOTE) in Remote in Antioch, TN
$52,258 to $60,821
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