Supporting the growth and sustainability of independent physician practices that focus on patient choice.
Denial Management Specialist
Location
Minnesota
Posted
6 days ago
Salary
$18 - $27 / hour
Seniority
Senior
Job Description
Denial Management Specialist
Infinite Health Collaborative
• Ensure professional communication with patients, clinic personnel, and outside vendors over the phone, via email or other written documentation and respond to all inquiries • Maintain a working knowledge of health care plan requirements and health plan networks • Verify and document insurance information as defined by current business practices • Accurately post all payments received from patients, attorney offices and/or insurance companies • Review Explanation of Benefits (EOB), research denials, rejections and/or excessive reductions • Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes • Prepare, submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy • Make outbound phone calls to patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy • Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy • Review and work any credit balances to determine if patient and/or insurance company refund is applicable
Job Requirements
- High School diploma/GED or equivalent
- Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferred
Benefits
- Employees working 30+ hours per week (60 hours per pay period) are eligible for our Medical (w/Maternity Bundle), Dental & Vision plans
- Tuition Reimbursement
- 401(k) with Profit Sharing
- Employee Assistance Program
- Lifetime Fitness Subsidy
- Car Rental discounts
- Home, Auto, & Pet insurance savings programs & more
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