Hospital Denials/Medical Appeals Specialist

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Type:

Regular

Scheduled Hours:

40

Work Shift:

Day (United States of America)

**The Denials Specialist role is eligible for a $1,500 sign on bonus.**
**This position is a fully remote opportunity, discussed at interview.**
*We offer flexible working hours (shifts start as early as 7-3:30PM) with a comprehensive benefit program.*
The Denials Specialist position is a key role in our expansive Patient Financial Services Group.
As a Denials Specialist, you will identify, review and interpret third party payments, adjustments and denials with a focus on reviewing and interpreting denials and facilitating first and second level appeals to insurance.
The ideal candidate will have experience with insurance appeals and denials, a working knowledge of third-party payer reimbursement, eligibility verification process and government and payer compliance rules.
You will collaborate with colleagues across the organization, impact critical organizational revenue streams and gain valuable experience working with our Epic EHR system.
We have a great career ladder trajectory and internal opportunities with positions such as Denials Specialist II, Revenue Billing Specialist and Revenue Cycle Analyst

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Minimum Qualifications and Experience:

Required Experience: 2+ years of Healthcare experience, specifically in a claims, Denials, billing, EOB or insurance verification .

Required Education: High School Diploma

Preferred Licensure, Certification & Registration: Medical Billing Certification

Keywords: denials, appeals, medical claims, medical billing and coding, EOB, write-off, PFS, Medicaid, Blue Cross Blue Shield, Medicare

***Important Details:

• -Previous employees returning within 1-Year are eligible for a retention bonus.
• -All bonuses are subject to applicable taxes. This program is subject to change at any point
• -Bonuses are paid out within the first 30 days of hire.
• -To be eligible, you must be a non-BILH employee or a previous eligible employee who returns to BILH after 1 year.
• -Employee must be in good standing to receive the bonus at the time of payment.

FLSA Status:

Non-Exempt

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled