Resolution Analyst, Denials

Added
less than a minute ago
Type
Full time
Salary
Salary not provided

Related skills

ms office medical terminology icd revenue cycle hcpcs/cpt

📋 Description

  • Review, appeal, and follow up on denied/underpaid claims using EnableComp tools.
  • Determine correct reimbursement using payer docs and provider contracts.
  • Review hospital contracts to collect cash from insurers.
  • Aquire records to prepare underpayment appeals for timely reimbursement.
  • Follow up with payers by phone to resolve outstanding receivables.
  • Support smooth operations and improve customer satisfaction.

🎯 Requirements

  • High School Diploma or GED; Associates/Bachelor’s preferred.
  • 5+ years in healthcare billing/collections.
  • 1+ years client-facing/customer service experience.
  • Intermediate claims processing and data requirements knowledge.
  • MS Office (Word, Excel, Outlook) proficiency.
  • ICD, HCPCS/CPT coding and medical terminology knowledge.
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