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Denials Resolution Specialist 1


PayCompetitive
LocationWorcester/Massachusetts
Employment typeFull-Time

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  • Job Description

      Req#: R24116189
      Employer Industry: Healthcare

      Why consider this job opportunity:
      - Potential signing bonus available, eligibility confirmed during the interview process
      - Opportunity for career advancement within a premier health system
      - Supportive and collaborative work environment with a focus on patient care
      - Work schedule from Monday to Friday, 8 AM to 4 PM
      - Engaging in a mission-driven organization that values respect and diversity
      - Chance to contribute to process improvements in healthcare billing

      What to Expect (Job Responsibilities):
      - Complete necessary actions for effective appeal processes, including authorization research and rebilling
      - Correspond with third-party payers and hospital departments to resolve denial issues
      - Utilize assigned work queues for denial resolution follow-up
      - Analyze denial reasons and execute the best approaches for resolution
      - Document all actions taken during the denial resolution process clearly

      What is Required (Qualifications):
      - High School diploma
      - Previous knowledge of Revenue Cycle in areas such as Patient Financial Services, Customer Service, or 3rd party Reimbursement
      - Ability to perform tasks efficiently and in a timely manner
      - Strong collaborative skills and ability to work effectively with others
      - Exceptional communication and interpersonal skills

      How to Stand Out (Preferred Qualifications):
      - One or more years of experience in healthcare billing functions

      #Healthcare #RevenueCycle #CareerOpportunity #DiversityAndInclusion #PatientCare

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

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