Denials Follow-Up Representative

Job Summary

A company is looking for a Denials Follow Up Rep-1.

Key Responsibilities:

• Differentiates between clinical and technical denials through EOB'S, denial letters/payer correspondence and data mining
• Reviews timely filing guidelines regarding the appeals process
• Manages assigned workload of accounts through timely follow up and accurate record keeping

Required Qualifications:

• Four-year degree preferred or equivalent experience in hospital related billing/follow-up field
• Knowledge of/experience working with managed care contracts
• Experience working with customer support/client issue resolution management
• Strong analytical acumen
• Proficiency with MS Office