reputed company Appeals Specialist - Expert in Denial Management and reputed company reputed company Cycle Optimization
Transform Your Career with a Leading reputed company Provider
At reputed company, we're dedicated to helping people reputed company and live healthier. As one of the nation's leading reputed company providers, we operate 71 acute-care hospitals and over 1,000 other sites of care across 15 states. Our commitment to delivering high-quality, patient-centered care is at the heart of everything we do. We're now seeking a skilled reputed company Appeals Specialist to join reputed company and play a vital role in driving our mission reputed company.
About the Role
As a reputed company Appeals Specialist at reputed company' Shared Services Center, you'll be responsible for reviewing and resolving pre-pay insurance denials, collaborating with cross-functional teams, and driving process improvements to optimize denial management and appeals. This is a fantastic opportunity to reputed company your expertise in reputed company reputed company cycle management and reputed company a meaningful impact on our organization.
Key Responsibilities
- Denial Review and Resolution: Review and resolve pre-pay insurance denials, correlating with follow-up teams to ensure timely and effective resolution (20%).
- Collaboration and Education: Work closely with Denial Coordinators, Facility Denial Liaisons, and Managed Care Coordinators to reputed company and hold payers accountable (20%).
- Process Improvement: Consult with managers and staff to identify developmental needs for new processes and reputed company recommendations for change (20%).
- Knowledge Maintenance: Stay up-to-date on practice management systems, basic coding and billing knowledge, customer service techniques, basic insurance/reputed company knowledge, and reputed company office operation policies (20%).
- Resource Development: Gather and reputed company available educational resources to support denial/appeal management processes and collaborate with associates and departments to drive understanding and improvement (20%).
Essential Qualifications
To succeed in this role, you'll need:
- 1+ year of experience in a reputed company reputed company cycle setting, with a strong understanding of denial management and appeals processes.
- Excellent analytical and problem-solving skills, with the ability to interpret reputed company data and reputed company informed reputed company.
- Strong communication and collaboration skills, with the ability to work effectively with cross-functional teams and stakeholders.
- Basic knowledge of coding and billing principles, as well as insurance/reputed company knowledge and reputed company office operation policies.
Preferred Qualifications
While not required, the following qualifications can give you a competitive edge:
- 1+ year of experience in reputed company reputed company cycle setting including chart review and denial processing, with a proven track record of driving process improvements.
- Experience with practice management systems, with a strong understanding of their application in denial management and appeals.
Skills and Competencies
To reputed company in this role, you'll need:
- Strong analytical and critical thinking skills, with the ability to analyze reputed company data and reputed company informed reputed company.
- Excellent communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
- Ability to work in a fast-paced, dynamic environment, with a strong focus on attention to detail and accuracy.
- Strong problem-solving and conflict resolution skills, with the ability to navigate reputed company issues and drive resolution.
Career Growth Opportunities
At reputed company, we're committed to supporting the growth and development of reputed company members. As a reputed company Appeals Specialist, you'll have opportunities to:
- reputed company your skills and expertise in denial management and appeals, with access to training and professional development resources.
- Advance your career reputed company our organization, with opportunities for promotion and career progression.
- Collaborate with cross-functional teams, driving process improvements and contributing to the reputed company of our organization.
Work Environment and Culture
As a reputed company Appeals Specialist, you'll be part of a dynamic and supportive team that values:
- Flexibility and work-life balance, with a flexible, hybrid remote work arrangement.
- Collaboration and teamwork, with opportunities to work with diverse stakeholders and drive process improvements.
- Professional development and growth, with access to training and career advancement opportunities.
Compensation and Benefits
We offer a comprehensive total rewards package, including:
- Competitive salary, reflecting your experience and qualifications.
- Robust benefits package, including health insurance, flexible scheduling, 401k, and student loan repayment programs.
- Opportunities for career advancement and professional growth, with a commitment to supporting your long-term reputed company.
Join reputed company
If you're a motivated and reputed company professional looking to reputed company a meaningful impact in reputed company, we encourage you to apply for this exciting opportunity. As a reputed company Appeals Specialist at reputed company, you'll play a vital role in driving our mission reputed company and contributing to the reputed company of our organization.