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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
Job Description
R-087134
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.
Required Experience/Skills
  • 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
Scheduled Weekly Hours
40