1

From Home Denial Management Jobs (NOW HIRING)

RN, Denials Management

Menomonee Falls, WI · On-site

$36.38 - $56.39/hr

Prior utilization management, insurance background, and denial management experience is preferred ... Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from ...

Billing Manager

Denver, CO · On-site

$70K - $90K/yr

... payment posting, denial management, and accounts receivable. * Compliance & Policy: Ensures ... Minimum of 5 years of healthcare billing experience, preferably in home health or similar health ...

Billing Manager

Denver, CO · On-site

$70K - $90K/yr

... payment posting, denial management, and accounts receivable. * Compliance & Policy: Ensures ... Minimum of 5 years of healthcare billing experience, preferably in home health or similar health ...

If you receive messages from any other domain, please disregard them. The Role Local Infusion is ... If you have a strong background in billing, denial management, collections, and a comprehensive ...

RN DENIALS MANAGEMENT HOURLY

Milwaukee, WI · On-site

$36.38 - $56.39/hr

Prior utilization management, insurance background, and denial management experience is preferred ... Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from ...

RN DENIALS MANAGEMENT HOURLY

Milwaukee, WI · On-site

$36.38 - $56.39/hr

Prior utilization management, insurance background, and denial management experience is preferred ... Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from ...

Showing results 41-60

From Home Denial Management information

What cities are hiring for From Home Denial Management jobs? Cities with the most From Home Denial Management job openings:
What are the most commonly searched types of Denial Management jobs? The most popular types of Denial Management jobs are:
What states have the most From Home Denial Management jobs? States with the most job openings for From Home Denial Management jobs include:

$16.25 - $21/hr

Full-time

Re-posted 11 days ago


Huntsville Hospital Health System rating

6.1

Company rating: 6.1 out of 10

Based on 207 frontline employees who took The Breakroom Quiz

727th of 887 rated healthcare providers


Job description

Overview
  • Reviews and audits accounts located in contract denial management system on a daily basis to resolve and maintain collection status on an account prior to escalating to Team Lead for further review.
  • Reviews and processes commercial accounts through contract management system.
  • Verifies eligibility, corrects and resubmits claim, and files third party insurances as necessary by adding/updating insurance information within the hospital affiliates.
  • Utilizes denial management system and responds to requests from insurance carrier for additional information necessary to process claims.
  • Analyzes expected reimbursement information contract management system. Utilizes the system/contract foundation to ensure the accounts are properly paid.  Reviews EOB's in contract management system and determines accurate account balance, detailed denial description, and applicable appeal process.
  • Identifies and corrects transactions, such as invalid insurance information, incorrect charges, and posting errors, in host system. Posts adjustments in host system.
  • Reviews and verifies claim export data in electronic billing, contract/denial management and/or host system.
  • Non-Covered Service
  • Benefits Exhausted
  • Documentation Request
  • Information Requested from Member/Beneficiary
  • Not Eligible
  • Coordination of Benefits/OHI Update
  • Work Related Injury/Other TPL Responsible
  • Timely Filing
  • Claim Deficiency
  • Coding/Billing
  • Duplicate Claims
  • Overlapping Dates of Service/Service Range
  • Re-Admission
Qualifications

Minimum Knowledge, Skills and Experience required:

  • General application knowledge of EXCEL, WORD, and ACCESS.
  • Proven applicable experience working in an environment that utilizes electronic billing, internal report archives, and tools for applicable database management strongly preferred.
  • 3 + years working experience of Hospital or Physician office billing and collection processes including producing account appeals with positive outcomes strongly preferred.
  • Prefer at least 1 year of supervisory experience strongly preferred.
  • Proven applicable experience of preparing complex correspondence to resolve accounts strongly preferred.
  • Effective communication skills verbally and written with internal Hospital departments, Physician Offices, Patient, and Insurance payors.
  • Must be able to effectively manage a large volume of accounts while maintaining a high accuracy and positive outcomes.

 

Education: 

  • High school diploma or GED
  • Prefer associates degree from an accredited college with some applicable college courses.
  • Prefer applicant with certification in coding, physician office management, or applicable college courses.
Employment Type: OTHER

What Huntsville Hospital Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom