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Rcm Healthcare Claims Denials Specialist

Company

CenterWell Home Health
Address Avondale Estates, GA, United States
Employment type FULL_TIME
Salary
Category Hospitals and Health Care
Expires 2023-10-10
Posted at 8 months ago
Job Description
Description


Responsibilities


As an Accounts Receivable Specialist/RCM Healthcare Claims Denials Specialist, you will:


  • Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
  • Prepare input data forms to update computer system.
  • Clear payment variances, resolving differences, and initiating corrective action.
  • Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
  • Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing.
  • Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
  • Review and communicate with agencies to educate them about expectations for clean claims.


Required Qualifications


  • Effective analytical and communication skills
  • High School Diploma or the equivalent
  • Minimum of two years medical claims processing experience
  • Knowledge of healthcare collection procedures and microcomputer software/hardware


Scheduled Weekly Hours


40