Patient Account Denials Specialist – Flexible Scheduling

Scotland Health Care System in Laurinburg, North Carolina; Laurinburg (NC); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Competitive compensation

Paid Parental Leave

On-Site Childcare

Flexible scheduling

Exclusive savings programs

Career growth and advancement

Job summary

Scotland Health Care System in Laurinburg, NC is seeking a dedicated Revenue Cycle Specialist in Patient Financial Services to review denied and underpaid claims and work with payers to resolve discrepancies.

You will analyze root causes of denials, maintain payer information, communicate with payers and internal departments, and participate in continuous quality improvement to reduce accounts receivable and improve billing accuracy.

Qualifications

• Experience reviewing denied and underpaid claims.
• Knowledge of HIPAA regulations and patient data handling.
• Strong communication and interpersonal skills.

Responsibilities

• Examine denied and underpaid claims to determine discrepancies.
• Provide payers with reasons for underpayments and analyze denial reasons.
• Work with management to identify root causes of denials and reduce AR.
• Maintain up-to-date files on each payer with contact details and website information.
• Document all interactions with payers and internal departments.
• Communicate via telephone and email with payers and Revenue Cycle teams.
• Participate in continuous quality improvement and track progress with manager.
• Demonstrate initiative by communicating trends and issues to management.
• Cross-train in other areas within Patient Accounts.
• Begin HBI Revenue Cycle classes.
• Understand and follow HIPAA guidelines when handling patient information.

Job description

Scotland Health Care System in Laurinburg, NC is seeking a dedicated Revenue Cycle Specialist in Patient Financial Services to review denied and underpaid claims and work with payers to resolve discrepancies.

You will analyze root causes of denials, maintain payer information, communicate with payers and internal departments, and participate in continuous quality improvement to reduce accounts receivable and improve billing accuracy.