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Healthcare Claims Denials And Appeals Specialist
Company | CenterWell Senior Primary Care |
Address | Marietta, GA, United States |
Employment type | FULL_TIME |
Salary | |
Category | Insurance,Wellness and Fitness Services,Hospitals and Health Care |
Expires | 2023-06-06 |
Posted at | 1 year ago |
R-087134
Description
Responsibilities
As an Accounts Receivable Specialist/Healthcare Claims Denials and Appeals Specialist, you will:
40
Description
Responsibilities
As an Accounts Receivable Specialist/Healthcare Claims Denials and Appeals Specialist, you will:
- Review and communicate with agencies to educate them about expectations for clean claims.
- Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
- Prepare input data forms to update computer system.
- Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing.
- Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
- Clear payment variances, resolving differences, and initiating corrective action.
- Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
- Knowledge of healthcare collection procedures and microcomputer software/hardware
- Minimum of two years medical claims processing experience
- High School Diploma or the equivalent
- Effective analytical and communication skills
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