DENIALS SPECIALIST

Archbold; Thomasville (GA); On-site; USD 52,000 - 64,000; Full time

Benefits offered by this job

Medical benefits

Retirement plan

PTO

Job summary

Archbold is seeking a Denials Specialist in Patient Financial Services to manage timely follow-ups on denials for third-party insurance claims and to move accounts through the collection cycle. The role requires strong analytical, organizational, and communication skills, with knowledge of CPT/ICD coding and medical terminology.

A high school diploma or GED is required, with at least three years in a patient accounts setting.

Qualifications

• Education: High School Graduate or GED.
• Experience: Minimum of three years in a patient account setting.
• Strong analytical and organizational skills with excellent attention to detail, communication, documentation and public relations abilities.

Responsibilities

• Follow up on denials of third-party insurance claims for assigned accounts.
• Move accounts through the collection cycle in a timely manner.
• Adhere to department policies and contribute to efficient operations.

Skills

Analytical

Organizational skills

Attention to detail

Communication

Documentation

Public relations

Time management

Productivity

MS Word

MS Excel

MS Outlook

CPT/ICD coding

Medical terminology

Education

High School Diploma / GED

Tools

CPT/ICD coding tools

Job description

Denials Specialist - Patient Financial Services

Description

Education Requirements: High School Graduate or G.E.D.

Experience: Minimum of three years experience in a patient account setting.

Required Skills: Analytical and organizational skills must be above average. Attention to detail, communication, documentation and public relations skills should be excellent. Time management and productivity must be excellent. Additional skills: Vast knowledge of Microsoft Word, Microsoft Excel, Microsoft Outlook a must. CPT and ICD coding skills and medical terminology knowledge a must. Medical Office Technical Degree preferred but not required (work experience can be substituted for degree).

Denials Specialist - PFS Responsible for the timely follow-up on denials of all third party insurance claims for assigned "book" of accounts. Also responsible for the timely movement of accounts through the collection cycle. Demonstrates commitment to professional growth and competence. Uses good judgement through adherence and support of the philosophy, objectives, policies and procedures of the department and institution. Maintains positive interpersonal relationships to promote and maintain the efficiency of the organization. Manages, plans and controls the workflow of the Denials Specialist responsibilities to ensure the completion of work assigned. Contributes to the effective management of the department. Contributes to the effective operations of the Medical Center by demonstrating dependability in job performance.

Physical Demands: Good physical and mental health. Able to work with supervisor and other staff or independently as directed, either by the situation or supervisor and under stressful conditions.

Supervises: None. Supervised By: PFS Patient Account Manager

Perks/Benefits (for eligible employees)

Have optimal opportunity for career growth within our growing organization

• Medical / Dental
• Retirement Plan
• PTO and paid life insurance

What Sets Us Apart

Archbold Medical Center is a four-hospital, four-nursing-home health system with 540 patient beds. We employ more than 2,500 people and boast an outstanding medical staff of nearly 200 qualified physician specialists. Our flagship hospital, Archbold Memorial Hospital, is a 264-bed hospital located in Thomasville, Georgia. Our system hospitals, also in Georgia, are Archbold Brooks Hospital in Quitman, Archbold Grady Hospital in Cairo, and Archbold Mitchell Hospital in Camilla.

For 100 years, Archbold has been synonymous with high-quality, compassionate medical care. While our exemplary facilities have helped us maintain an excellent reputation, our team members are what makes Archbold special.

You are unique. You have skills and a strong passion for helping people. You also have personal goals, and Archbold wants to help you achieve them. We are a diverse healthcare system that promotes teamwork, continuing education, and leadership, and we are committed to recruiting and retaining the best healthcare professionals to join our Archbold team.

What We Offer

We know that your time and expertise are valuable, and to help our employees be at their best and make the most of their employment experience, we offer a comprehensive and generous benefits package that helps our employees and their families meet the challenges of everyday living.

We strive to be a workplace of choice, and from high-quality medical and dental care benefits to retirement benefits that help build wealth for your future, Archbold is proud to offer our employees one of the best benefits packages in the area.

• Work/Life Balance
• Planning for the Future
• Low-Cost Prescriptions
• Health & Wellness Benefits
• Planning for Life’s Unexpected Moments
• Helping You to Advance Your Career

Mission

To provide safe, innovative and compassionate care for our communities.

Vision

A healthier region, stronger communities, meaningful work, and trusted care.