Healthcare Claims Denials Specialist - Centerwell
Marietta, GA
About the Job
Description
Responsibilities
As an Accounts Receivable Specialist/Healthcare Claims Denials Specialist , you will:
+ Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
+ Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
+ Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
+ Clear payment variances, resolving differences, and initiating corrective action.
+ Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing.
+ Prepare input data forms to update computer system.
+ Review and communicate with agencies to educate them about expectations for clean claims.
Required Experience/Skills:
+ High School Diploma or the equivalent
+ Minimum of two years medical claims processing experience
+ Knowledge of healthcare collection procedures and microcomputer software/hardware
+ Effective analytical and communication skills
Scheduled Weekly Hours
40
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
Responsibilities
As an Accounts Receivable Specialist/Healthcare Claims Denials Specialist , you will:
+ Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
+ Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
+ Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
+ Clear payment variances, resolving differences, and initiating corrective action.
+ Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing.
+ Prepare input data forms to update computer system.
+ Review and communicate with agencies to educate them about expectations for clean claims.
Required Experience/Skills:
+ High School Diploma or the equivalent
+ Minimum of two years medical claims processing experience
+ Knowledge of healthcare collection procedures and microcomputer software/hardware
+ Effective analytical and communication skills
Scheduled Weekly Hours
40
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
Source : Centerwell