Insurance Denials Specialist Jobs

To be eligible, you must be a non-BILH employee or a previous eligible employee who returns to BILH after 1 year.

Previous employees returning within 1-Year are eligible for a retention bonus.

Employee must be in good standing to receive the bonus at the time of payment.

All bonuses are subject to applicable taxes. This program is subject to change at any point

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

Minimum of two years medical claims processing experience

Knowledge of healthcare collection procedures and microcomputer software/hardware

Effective analytical and communication skills

Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.

Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.

Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.

If candidate does not have EPIC experience, state what electronic medical record system they are using for working current denials.

Reviews all patient complaints and works to ensure a positive customer service experience by fully answering patient queries

Reviews denial reasons, validates accurate coding, and initiates appeals process for claims to ensure prompt and accurate payment.

Works to understand denial reason using provided information from payer

Collaborates with coding team, as needed, to ensure understanding of initial code selection and if updates are required

Researches payer-specific coverage policies to determine if an appeal is warranted