Denials Resolution Specialist (Medical Billing)

Guidehouse; Birmingham (AL); On-site; USD 32,000 - 45,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

401(k) Retirement Plan

Paid Holidays

Job summary

Guidehouse is seeking a Central Denials Account Representative in Birmingham, AL. You will conduct comprehensive account reviews, determine actions to resolve balances, and collaborate with insurance companies to resolve denials and appeals.

This role requires 0-2 years of medical billing experience and strong communication skills. Responsibilities include resubmitting corrected claims, escalating payer issues when needed, and coordinating with other departments to ensure accurate patient

Qualifications

• HS Diploma or equivalent.
• 0-2 years medical billing experience working with UB04, appeals & denials.

Responsibilities

• Conduct thorough account reviews to resolve denials and balances.
• Make outbound calls to Insurance Companies to resolve claim denials.
• Resubmit corrected claims and supporting documentation for patient experience.
• Escalate payer issues to supervisor with relevant information for resolution.
• Communicate areas of concern or improvement to management.
• Work independently with minimal supervision and initiate projects.
• Demonstrate good written and verbal communication skills.

Skills

Medical Billing

Denials Resolution

Customer Service

Communication Skills

Education

HS Diploma or equivalent

Job description

Guidehouse is seeking a Central Denials Account Representative in Birmingham, AL. You will conduct comprehensive account reviews, determine actions to resolve balances, and collaborate with insurance companies to resolve denials and appeals.

This role requires 0-2 years of medical billing experience and strong communication skills. Responsibilities include resubmitting corrected claims, escalating payer issues when needed, and coordinating with other departments to ensure accurate patient