Denial Management Specialist- Physician

Northside Hospital Inc.; Atlanta (GA); On-site; USD 40,000 - 55,000; Full time

Job summary

Northside Hospital Inc. in Atlanta is hiring for a position focused on insurance claims. The role involves following up on unprocessed or denied claims, resolving outstanding issues with payors, and ensuring accurate reimbursements based on client contracts.

Candidates should have at least one year of insurance collections experience or two years of customer service experience along with strong communication skills. Basic computer proficiency is required, particularly with Microsoft Office.

Qualifications

• 1 year of insurance collections/AR receivables experience or 2 years of customer service/banking/accounting experience.
• Good verbal and written communication skills.
• Basic computer skills, including the Microsoft Office Suite.
• Basic reading, writing, and arithmetic skills.

Responsibilities

• Follows up on unprocessed or denied insurance claims with payors.
• Works with physician offices to resolve outstanding claim issues.
• Ensures correct reimbursement rates are paid on claims.

Skills

Insurance collections

Customer service

Verbal communication

Written communication

Basic computer skills

Tools

Microsoft Office Suite

Job description

Responsibilities

Follows up on unprocessed or denied insurance claims through extensive phone, fax, and written correspondence with payors and pricing agencies. Works with physician offices and billing office employees to resolve any outstanding claim issues. Ensures correct reimbursement rates are paid on claims based on current client contracts. Utilizes knowledge of the revenue cycle and patient accounts to maximize reimbursements. Abides by and promotes HIPAA compliance at all times.

Required Qualifications

1. 1 year insurance collections/ AR receivables experience or 2 years of customer service/ banking/ accounting experience
2. Good verbal and written communication skills.
3. Basic computer skills, including the Microsoft Office Suite
4. Basic reading, writing, and arithmetic skills

Preferred Qualifications

1. Knowledge of healthcare receivables and collections, including denial and appeal processes.
2. Understanding of the healthcare revenue cycle
3. Coding knowledge or CPC certification
4. Knowledge and ability to use insurance company websites

Work Hours

7am - 3:45pm