Job Summary
A healthcare services provider needs applicants for an opening for a Remote Denials And Appeals Specialist II in Lynbrook.
Individual must be able to fulfill the following responsibilities:
- Establish denial reviews and response processes
- Liaise between the RAC, commercial payers, managed care and third party review organizations
- Report program performance and/or corrective action to management on regular basis
Must meet the following requirements for consideration:
- Minimum of three (3) years coding experience, required
- Bachelor’s Degree in Health Information Management or related field, preferred
- Two (2) years experience in Chart Review/Hospital Reimbursement and regulatory background
- RHIA, RHIT or RN, CCS, required