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Denials Resolution Specialist II
PayCompetitive
LocationWorcester/Massachusetts
Employment typeFull-Time
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Job Description
- Req#: R24115647
Employer Industry: Healthcare
Why consider this job opportunity:
- Potential signing bonus available
- Opportunity for career advancement and growth within the organization
- Work Monday through Friday from 8 AM to 4 PM
- Collaborative and supportive work environment
- Chance to contribute to exceptional patient care and community support
- Engage in a diverse workplace that values respect and inclusion
What to Expect (Job Responsibilities):
- Triage denial root causes and execute appropriate next steps for resolution
- Identify trends and participate in interdepartmental strategies to reduce future denials
- Train staff on payer websites and provide guidance on navigation
- Resolve accounts with high dollar balances, ensuring rapid resolution
- Document all actions taken during the denial resolution process clearly
What is Required (Qualifications):
- A minimum of a High School diploma
- Four or more years of experience in healthcare billing functions
- Proven track record of successful performance and goal achievement
- Advanced knowledge of claim form content and submission requirements
- Ability to communicate clearly and document actions taken during the resolution process
How to Stand Out (Preferred Qualifications):
- Experience with high dollar and high complexity claim submissions
- Ability to navigate MassHealth and Medicare claims processing applications
- Strong interpersonal skills and ability to work collaboratively with others
#Healthcare #PatientCare #Billing #CareerGrowth #DiversityInWorkplace
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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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