Employer Industry: Healthcare Revenue Cycle Management

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on financial outcomes in the healthcare sector
- Work closely with experienced professionals in denial management and revenue cycle optimization
- Utilize analytical skills to influence reimbursement rates and minimize denials

What to Expect (Job Responsibilities):
- Review technical denial claims and submit reconsiderations or appeals
- Conduct root cause analysis of denied payments, including research and historical analysis
- Maintain relationships with third-party payers and respond to inquiries and complaints
- Collaborate with various revenue cycle departments to establish best practice solutions
- Ensure accuracy of denied claims from a technical and billing perspective

What is Required (Qualifications):
- High school graduate with a minimum of four (4) years of coding, billing, insurance follow-up, collections, or denial management experience in a hospital or clinical setting
- Demonstrated knowledge of hospital billing and reimbursement processes
- Strong analytical and critical thinking skills with attention to detail
- Proficiency in Microsoft Office products such as Outlook, Word, and Excel
- Knowledge of HIPAA guidelines and ability to interpret Explanation of Benefits (EOBs)

How to Stand Out (Preferred Qualifications):
- Associate's degree or higher in a health or business-related field
- Three (3) years of coding, billing, insurance follow-up, collections, or denial management experience in a hospital or clinical setting
- Proven research and problem-solving skills

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