Denial Management Specialist Clone
Posted on :
12-06-2024
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Job Description
Essential Duties and Responsibilities:
- Monitors delinquent accounts and performs collection duties.
- Reviews reports researches and resolves issues.
- Reviews payment postings for accuracy and to ensure account balances are current.
- Works with coworkers to resolve insurance payment and billing errors.
- Monitors and updates delinquent accounts status
- Recommends accounts for collection or writeoff.
- Contacts patients to secure past due balances verifies patient demographics and insurance providers updates information in systems and documents conversations.
- Answers patient payment billing and insurance questions and resolves complaints.
- Contacts patients to secure past due balances verifies patient demographics and insurance providers updates information in systems and documents conversations.
- Answers patient payment billing and insurance questions and resolves complaints.
- May refer patients to Patient Benefits Representative to set up payment plans.
- Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations.
- Adheres to confidentiality state federal and HIPPA laws and guidelines regarding patient records.
- Performs other duties as requested or assigned.
- High School diploma or equivalent required
- Minimum two (2) years combined denial management and Epic software experience required.
- Demonstrate knowledge of state federal and thirdparty claims processing required.
- Demonstrate knowledge of state & federal collections guidelines
Employment Type
Full Time
Key Skills
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