Remote Denials Management Follow Up Representative

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