
Description
General Summary of Position
MedStar Patient Financial Services is currently seeking an experienced Admitting Denials Coordinator to join our amazing Appeals & Denials team. We are specifically looking for a candidate that has strong skills with investigating and researching claim denials and preparing/writing appeals to get claims paid.
Works independently to monitor and resolve denials and write offs received for outpatient accounts. Works in excel creating and maintaining follow up on all accounts. Reports from excel or other format will be required to show progress on receiving reimbursement from insurance companies. Looks for trends of non-payment from payers', provides feedback to outpatient departments with write offs and monitors improvements. Follows accounts to see if we are receiving full payment and trends and tracks revenue opportunities. Provides support for Financial Counselors. Works self pay elective OR accounts, stops cosmetic or sterilization procedures unless paid in cash.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- High School Diploma or GED required
- 3-4 years experience in medical setting with strong insurance knowledge required
- Medical coding and denials management preferred
- CHAA & CRCS-I preferred
- Abilities Verbal and written communication skills.
- Basic computer skills with Microsoft Excel required.
- Working Knowledge in multiple specific payers' application billing and/or collection process.
- Requires basic working knowledge of UB04 and Explanation of Benefits (EOB).
- Requires some knowledge of Medical Terminology and CPT/ICD-10 coding.
Experience
Licenses and Certifications
Knowledge, Skills, and Abilities
This position has a hiring range of $20.17 - $35.04
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