Hospice Denials & Appeals Specialist

Health Business Solutions LLC; Manila; On-site; PHP 334,800 - 502,200; Full time

Job summary

A healthcare solutions company in Metro Manila is seeking an experienced Insurance Denials Management Specialist to analyze and resolve hospice claims denials. The successful candidate will review, appeal, and develop strategies for denials, ensuring compliance with regulations while collaborating with various teams. With at least 2 years of relevant experience and proficiency in billing and coding, the candidate must also have strong analytical and communication skills. This role offers an opportunity for professional growth in enhancing revenue cycle management.

Qualifications

• Minimum of 2 years experience in insurance denials management with a focus on hospice claims.
• In-depth understanding of hospice billing, coding (ICD-10, CPT, HCPCS), and regulatory requirements.
• Strong analytical and problem-solving skills.

Responsibilities

• Review and manage insurance claim denials related to hospice care services.
• Prepare and submit appeals to insurance payers.
• Collaborate with billing, clinical, and coding teams.

Skills

Insurance denials management

Analytical skills

Communication skills

Hospice billing knowledge

Regulatory compliance knowledge

Education

Certification in Medical Billing or Coding

Tools

Denial management software

Billing systems

MS Office applications

Job description

A healthcare solutions company in Metro Manila is seeking an experienced Insurance Denials Management Specialist to analyze and resolve hospice claims denials. The successful candidate will review, appeal, and develop strategies for denials, ensuring compliance with regulations while collaborating with various teams. With at least 2 years of relevant experience and proficiency in billing and coding, the candidate must also have strong analytical and communication skills. This role offers an opportunity for professional growth in enhancing revenue cycle management.