Employer Industry: Healthcare Services

Why consider this job opportunity:
- Potential signing bonus available, confirmed during the interview process
- Opportunity for career advancement and growth within the organization
- Work in a collaborative and supportive environment focused on exceptional patient care
- Engaged in a health system that values diversity and promotes respect among employees and patients
- Stable schedule with Monday through Friday hours, 8:00 AM to 4:30 PM

What to Expect (Job Responsibilities):
- Triage denial root causes and execute appropriate next steps for resolution
- Analyze and research denial reasons for assigned denial codes, differentiating between claim denials and payment variances
- Train staff on payer websites and provide guidance on website navigation
- Document all actions taken during the denial resolution process, ensuring clarity and adherence to guidelines
- Participate in payer and internal audits, supporting requests for information and maintaining documentation

What is Required (Qualifications):
- Minimum educational requirement: High School diploma
- Four or more years of experience in health care billing functions
- Proven experience in denial resolution processes and health care billing
- Advanced knowledge of claim form content and submission requirements
- Exceptional communication and interpersonal skills, with the ability to document actions clearly

How to Stand Out (Preferred Qualifications):
- Experience navigating MassHealth and Medicare claims processing applications
- Proven track record of successful performance and goal achievement in billing functions
- Ability to work collaboratively and effectively with diverse teams

#Healthcare #Billing #DenialResolution #CareerGrowth #DiversityInWorkplace

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