Denials Analyst FT

Gibson Area Hospital & Health Services; Gibson City (IL); On-site; USD 40,000 - 55,000; Full time

Job summary

Gibson Area Hospital & Health Services is seeking a claims denial management specialist to assist with investigating and correcting denied claims for Medicare, Medicaid, and private accounts. This position is full-time, 40 hours weekly from Monday to Friday, with no weekends required.

The ideal candidate will be highly organized with exceptional Excel skills and prior billing experience is a plus. Responsibilities include auditing claim denials, preparing training material, and managing denials from start to finish.

Qualifications

• Exceptional Excel skills required.
• Prior insurance and billing experience preferred.
• Ability to interact with third party payers, family members, and patients.

Responsibilities

• Perform daily claim denial auditing recorded in Excel sheets.
• Generate monthly denial reports and send to clinics for review.
• Prepare training material related to denied claims.
• Manage denials from beginning to end including rebills.
• Complete additional duties as assigned by the Clinical Denials Manager.

Skills

Organizational skills

Excel proficiency

Communication skills

Job description

Overview

To assist, investigate and correct denied claims of Medicare, Medicaid, Commercial Insurance and Private pay accounts receivable. There will be phone and email interaction with third party payers, family members and patients to obtain correct and up-to-date insurance information in order to resubmit denied claims. Looking for a highly organized individual with exceptional Excel skills. Prior insurance and billing experience a plus.

Hours & Work Schedule

Regular full time, 40 hours weekly, Monday through Friday. No weekends.

Responsibilities

• Daily claim denial auditing recorded in Excel sheets
• Monthly denial reports worked then sent to clinics for review
• Prepare training material related to denied claims to help reduce denials
• Work denials from beginning to end including rebills when necessary
• Additional duties assigned by the Clinical Denials Manager