Healthcare Denials & Appeals Specialist

Colquittregional; Moultrie (GA); On-site; USD 45,000 - 65,000; Full time

Job summary

Colquitt Regional Health System in Moultrie, GA is seeking a knowledgeable candidate for managing the denial and appeal process in patient financial services.

The role requires a strong understanding of medical terminologies and billing processes, along with at least two years of relevant experience. The ideal candidate will assist in audits, research root causes of denials, and communicate effectively with both internal and external clients.

Qualifications

• Minimum of two years in healthcare revenue cycle, billing and collections.
• Experience in processing payments and claim-related appeals.

Responsibilities

• Handle denial and appeal process with third-party payers.
• Conduct necessary research for the appeals process.
• Assist with audits and maintain communication with clients.

Skills

Understanding of medical and insurance terminologies

CPT and ICD coding systems

Billing forms familiarity

Job description

Colquitt Regional Health System in Moultrie, GA is seeking a knowledgeable candidate for managing the denial and appeal process in patient financial services.

The role requires a strong understanding of medical terminologies and billing processes, along with at least two years of relevant experience. The ideal candidate will assist in audits, research root causes of denials, and communicate effectively with both internal and external clients.