IT Security Specialist jobs in Evansville, IN

Job Overview

We are in search of a meticulous and committed Medical Billing Specialist to join our esteemed team. This position is ideal for professionals who possess a comprehensive understanding of Revenue Cycle Management and have demonstrable experience in managing claims denials and appeals.

Key Responsibilities

• Conduct thorough analysis of denied claims to ascertain the most effective strategies for appeals or resubmissions.
• Prepare and submit precise and compliant appeals for denied claims, ensuring strict adherence to relevant guidelines.
• Collaborate with billing, coding, and clinical personnel to gather essential information for appeals, resolving denial issues with efficiency.
• Maintain comprehensive records of denial cases, including filed appeals and communications with insurance representatives.
• Monitor and track the status of appealed claims, proactively following up with insurance representatives to expedite resolution processes.
• Generate and analyze reports on denial trends, identify underlying issues, and recommend improvements to enhance overall operational efficiency.
  
  

Required Skills

• Strong analytical capabilities to assess denial reasons, identify trends, and devise strategies to minimize future denials.
• Exceptional written and verbal communication skills to facilitate effective interactions with both internal teams and insurance representatives.
• Unwavering attention to detail and accuracy in documentation and submissions of appeals.
• Proven ability to work collaboratively within multidisciplinary teams to achieve common objectives.
• In-depth knowledge of billing regulations, coverage guidelines, and the appeals process.
  
  

Qualifications

• High school diploma or equivalent.
• Minimum of 2 years of relevant experience in claims processing and denial management.
• At least 1 year of current experience utilizing the EPIC EMR system.
  
  

Career Growth Opportunities

This position offers significant potential for professional advancement as you enhance your skills in claims processing and denial management, contributing to procedural improvements and operational efficiency within the organization.

Company Culture and Values

Our organization values collaboration and efficiency, nurturing a workplace environment where effective communication and meticulous attention to detail are prioritized. Joining our team means becoming part of a dynamic culture that is committed to excellence and continuous improvement.

Employment Type: Full-Time