Facility Denial Appeals & Resolution Specialist

United Surgical Partners International; Oklahoma City (OK); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) with retirement planning

Paid holidays and vacation

Job summary

United Surgical Partners International is seeking an Appeals Denial Management Specialist for their North Oklahoma City billing office. The role involves the resolution of claim denials, underpayments, and appeals, requiring strong communication skills and proficiency in Microsoft Products.

The ideal candidate will have a background in managed care and coding knowledge, along with a commitment to positive relationships with clients. A comprehensive benefits package is offered, including medical, dental, vision, and retirement planning.

Qualifications

• Must understand Managed Care, Commercial, Government, Medicaid, and Workers Compensation claim determinations.
• Experience with physician/facility billing for both office and surgical claims.
• Coding and anatomy knowledge preferred.

Responsibilities

• Perform daily activities for accounts receivable collection and resolution.
• Resolve claims that could not be collected using standard processes.
• Perform insurance and third party payor collections for denied accounts.

Skills

Effective communication

Microsoft Products proficiency

Medical coding knowledge

Analytical skills

Education

High School Diploma or G.E.D.

Job description

United Surgical Partners International is seeking an Appeals Denial Management Specialist for their North Oklahoma City billing office. The role involves the resolution of claim denials, underpayments, and appeals, requiring strong communication skills and proficiency in Microsoft Products.

The ideal candidate will have a background in managed care and coding knowledge, along with a commitment to positive relationships with clients. A comprehensive benefits package is offered, including medical, dental, vision, and retirement planning.