Remote Denials & Appeals Specialist

Baptistfirst; Alabama; On-site; USD 50,000 - 70,000; Full time

Job summary

Baptistfirst in Alabama is seeking a Denials Management Specialist to handle disputes, validate payment issues, and generate appeals for denied claims. This role involves resolving complex accounts and requires in-depth knowledge of billing rules and payer contracts.

The ideal candidate will have a minimum of 3 years' experience in healthcare billing, and strong MS Office and analytical skills are essential. Join us in ensuring effective resolution of accounts while maintaining high standards of patient care.

Qualifications

• Minimum of at least 3 years’ experience in a hospital business or medical office performing billing and/or collections.
• CRCR or CPAR certification preferred.
• Knowledge of ICD-9, ICD-10, and CPT coding.

Responsibilities

• Validate dispute reasons and escalate payment variance trends or issues.
• Generate appeals for denied or underpaid claims.
• Resolve complex and aged accounts through research of regulations and billing rules.

Skills

MS Office proficiency

Strong analytical skills

Problem-solving abilities

Strong organization skills

Interpersonal skills

Customer relations skills

Education

High School diploma or equivalent

Associates degree or higher

Job description

Baptistfirst in Alabama is seeking a Denials Management Specialist to handle disputes, validate payment issues, and generate appeals for denied claims. This role involves resolving complex accounts and requires in-depth knowledge of billing rules and payer contracts.

The ideal candidate will have a minimum of 3 years' experience in healthcare billing, and strong MS Office and analytical skills are essential. Join us in ensuring effective resolution of accounts while maintaining high standards of patient care.