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Denials Jobs in Georgia (NOW HIRING)

St. Joseph's/Candler

Insurance Collector

Savannah, GA · On-site

$17.09/hr

Resolves payer denials promptly and appropriately. Updates account Insurance demographic information accordingly. Rebills accounts when necessary and documents all action taken. * Acts upon computer ...

St. Joseph's/Candler

Insurance Collector

Savannah, GA · On-site

$17.09/hr

Resolves payer denials promptly and appropriately. Updates account Insurance demographic information accordingly. Rebills accounts when necessary and documents all action taken. * Acts upon computer ...

St. Joseph's/Candler

Insurance Collector

Savannah, GA · On-site

$17.09/hr

Resolves payer denials promptly and appropriately. Updates account Insurance demographic information accordingly. Rebills accounts when necessary and documents all action taken. * Acts upon computer ...

Grady Health System

PB Coder II - Claim Edits

Atlanta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Resolve codingrelated denials to support accurate reimbursement. Quality Assurance & Productivity 5. Maintain Productivity & Quality Standards * Meet hourly productivity and accuracy standards set by ...

LCMC Health

Collaborate with executive leadership and Case Management to reduce denials, prevent avoidable days, and optimize length of stay (LOS). * Identify trends and implement performance improvement ...

Thomas Chacko MD PC

Medical Biller

Alpharetta, GA · On-site

$17.25 - $22.25/hr

Strong understanding of insurance claims, denials, appeals, payment posting, accounts receivable management, and revenue cycle operations. * Experience working with commercial insurance, Medicare ...

Thomas Chacko MD PC

Medical Biller

Alpharetta, GA · On-site

$17.25 - $22.25/hr

  • Medical

  • Dental

  • Retirement

  • PTO

Strong understanding of insurance claims, denials, appeals, payment posting, accounts receivable management, and revenue cycle operations. * Experience working with commercial insurance, Medicare ...

Thomas Chacko MD PC

Medical Biller

Alpharetta, GA · On-site

$17.25 - $22.25/hr

Strong understanding of insurance claims, denials, appeals, payment posting, accounts receivable management, and revenue cycle operations. * Experience working with commercial insurance, Medicare ...

Evoraa Healthcare

Collections Specialist

Peachtree City, GA · Remote

$17.25 - $23.25/hr

Work on correspondence denials received from clients, internal operations or portals. * Maintain thorough identification and resolution of problematic claims. * Utilize specialized knowledge of ...

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All JobsDenials JobsDenials Jobs in Georgia

Denials information

What is the difference between Denials vs Claims Adjuster?

AspectDenialsClaims Adjuster
Primary RoleReview and process claims that have been denied or rejectedEvaluate and settle insurance claims, including approved and denied claims
Work EnvironmentInsurance companies, healthcare providers, or third-party administratorsInsurance companies, public agencies, or independent firms
Required CredentialsKnowledge of insurance policies, coding, and claims processing; certifications varyAdjuster licenses, insurance knowledge, and sometimes certifications

In summary, Denials specialists focus on identifying and managing denied claims, while Claims Adjusters handle the entire claims process, including approved and denied cases. Both roles require insurance knowledge, but their primary functions differ in scope and responsibility.

What are denials in healthcare billing?

Denials in healthcare billing refer to claims that have been submitted to an insurance company but are rejected or not paid. Denials can occur for various reasons, such as missing information, incorrect coding, or eligibility issues. Handling denials is an essential part of the revenue cycle in healthcare organizations, as it ensures providers receive proper reimbursement for their services. Effective denial management involves identifying the cause, correcting errors, and resubmitting claims to maximize revenue.

What are the typical challenges faced in a denials specialist role, and how can they be managed effectively?

A Denials Specialist often encounters challenges such as high volumes of denied insurance claims, navigating complex payer requirements, and communicating effectively with both insurance companies and internal teams. Managing these challenges requires strong attention to detail, persistence in follow-up, and up-to-date knowledge of billing codes and payer policies. Building strong relationships with payers and collaborating closely with billing and coding teams can help resolve denials efficiently and prevent future occurrences, making teamwork and proactive problem-solving critical skills in this role.

What are the key skills and qualifications needed to thrive as a denials specialist?

To thrive as a Denials Specialist, you need a thorough understanding of medical billing, insurance policies, and claims adjudication, often supported by a background in healthcare administration or a related field. Familiarity with practice management software, electronic health records (EHRs), and coding systems such as ICD-10 and CPT is typically required. Strong analytical skills, attention to detail, and effective communication help you resolve complex denials and collaborate with providers and payers. These competencies are vital for maximizing reimbursement, reducing claim rejections, and ensuring the financial health of healthcare organizations.
What are the most commonly searched types of Denials jobs in Georgia? The most popular types of Denials jobs in Georgia are:
Denials jobs near you

Insurance Collector

St. Joseph's/Candler

Savannah, GA • On-site

$17.09/hr

Full-time

Re-posted 24 days ago

St. Joseph's/Candler Health System rating

7.0

Company rating: 7.0 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

Job description

  • Position Summary
    • The primary responsibility of the Insurance Collector is to ensure that all third party professional claims and institutional claims are processed and paid; maintaining gross days in receivables at or below departmental goals, within the Hospital-Based, Central Billing Office setting. The Insurance Collector will perform all billing and follow-up activity on patient's accounts from origination to either payment in full or transfer to self-pay status. Daily activity includes but is not limited to filing, aging, follow-up on unpaid claims, identifying credit balances, documenting needed information and handling all insurance / patient contact in a professional manner. Whenever assigned, payment posting duties will be completed accurately and within departmental guidelines; working under the direct supervision of the CBO Team Lead. The Insurance Collector must maintain open communications and is available to component organizations and practitioner sites for consultation.
  • Education
    • Associates of Business - Preferred
  • Experience
    • 3-5 Years Relevant Experience in Medical Accounts Receivable. - Preferred
  • License & Certification
    • None Required
  • Core Job Functions
    • Resolves payer denials promptly and appropriately. Updates account Insurance demographic information accordingly. Rebills accounts when necessary and documents all action taken.
    • Acts upon computer reminders promptly and appropriately. Uses the most effective follow up method needed. Documents all action taken.
    • Files claims as assigned. Follows up on secondary aged accounts according to established time parameters. Resolves reminders promptly.
    • Reviews and responds appropriately to correspondence according to established time parameters. Documents all action taken. Ensures correspondence is scanned to the account.
    • Resolves payer denials promptly and appropriately. Mails paper claims promptly to the proper address. Re-bills accounts when necessary.

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