Job Summary
A healthcare orgainzation has an open position for a Remote Denials Management Follow Up Representative.
Core Responsibilities Include:
- Coordinating payor denial and appeal follow up activities to ensure timely response from third party payors
- Documenting requests and appeal, communicating and coordinating with various individuals/distributions
- assisting with monitoring of the day to day activities related to appeal follow up and denials.
Qualifications for this position include:
- A Bachelor's Degree, or equivalent combination of education and experience, is required
- Knowledge of hospital revenue cycle revenue management, EDI Transaction sets including 837I, 837P
- 3 years of Hospital Third Party Collection / AR Receivables is preferred
- Knowledge of insurance contract rates and terms; understanding of registration and collections
- Ability to comprehend payor 835 and paper EOB responses
- Ability to comprehend CCI edits, CPT, HCPCS, ICD-9 and revenue codes
