Job Requirements Position Summary The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager. * Only Applicants from the ...
Job Requirements Position Summary The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager. * Only Applicants from the ...
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Quick apply
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Quick apply
Recovery Supervisor
Fort Worth, TX · Remote
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Remote, Nationwide - Seeking Supervisor, Provider Enrollment Everybody Has A Role To Play In ... Helps support excellent time management and preparedness by assisting the team with scheduling ...
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Remote Supervisory Management information
What is the difference between Remote Supervisory Management vs Remote Team Lead?
| Aspect | Remote Supervisory Management | Remote Team Lead |
|---|---|---|
| Credentials | Management experience, leadership skills | Team coordination, communication skills |
| Work Environment | Oversees multiple teams or departments remotely | Leads a specific team or project remotely |
| Employer Usage | Common in corporate, tech, and service industries | Used across various industries for project teams |
| Search Intent | Management roles, leadership positions | Team coordination, project leadership |
Remote Supervisory Management involves overseeing multiple teams or departments remotely, requiring leadership and management experience. Remote Team Lead focuses on guiding a specific team or project remotely, emphasizing coordination and communication skills. While both roles involve remote leadership, Supervisory Management typically entails broader responsibilities and strategic oversight, whereas Team Leads concentrate on project execution within a team.
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What job categories do people searching Remote Supervisory Management jobs look for? The top searched job categories for Remote Supervisory Management jobs are:
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Specialist-Denials Management (Remote)
Spartanburg, SC • On-site, Remote
Full-time
Posted 26 days ago
Spartanburg Regional Healthcare System rating
6.6
Based on 115 frontline employees who took The Breakroom Quiz
563rd of 877 rated healthcare providers
Job description
Job Requirements
Position Summary
The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager.
* Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin.
Minimum Requirements
Education
Experience
License/Registration/Certifications
Preferred Requirements
Preferred Education
Preferred Experience
Preferred License/Registration/Certifications
Core Job Responsibilities
Position Summary
The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager.
* Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin.
Minimum Requirements
Education
- High School Diploma or equivalency
Experience
- 4 years' experience in medical billing, setting with exposure to denials, appeals, insurance collections and related follow-up.
- Must have good knowledge of ICD9 and CPT-4 coding
- Must have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes.
- Be familiar with multiple payer requirements for claims processing
- Solid skills with Microsoft office with a focus on Excel and Word.
- Good Communication Skills
License/Registration/Certifications
- N/A
Preferred Requirements
Preferred Education
- Associates or Bachelor's degree in a Healthcare related field.
Preferred Experience
- Focused denials and appeals management experience.
Preferred License/Registration/Certifications
- CPC and/or CPC-H certification
Core Job Responsibilities
- Research and resolve all outstanding denials within workque and complete all necessary follow up within a timely and accurate manner
- Identify all denial trends and provide education of steps to prevent future avoidable denials.
- Initiate/manage all insurance appeals in a timely manner
- Manage outstanding AR related to denials.
- Communicate all denial trends and denial increases to direct supervisor/manager in order to positively affect the volume of denials
- Organize the workflow to ensure that denials are worked according to departmental policy and standards.
- Manage correspondences and any ADR requests as defined within department workflow procedure to ensure timeless and accuracy of response.
- Complete special projects as assigned by Supervisor/Manager
- Prepare/attend AR denial meetings as required.
What Spartanburg Regional Healthcare System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Spartanburg Regional Healthcare System
Sourced by ZipRecruiter
Spartanburg Regional Healthcare System is a leader in the healthcare industry, located in Spartanburg, SC, US. As a comprehensive health system, it offers services encompassing everything from wellness, prevention, and care coordination to specific medical treatments for a wide range of diseases and health issues. Spartanburg Regional Healthcare System was founded in 1921 and has since developed a reputation for excellence and innovative care, growing to include six hospitals, 100 medical offices, 8,000 associates and more than 900 medical staff.
Industry
Recruiting and staffing services
Company size
5,001 - 10,000 Employees
Headquarters location
Spartanburg, SC, US
Year founded
1921