Denials Management Specialist

Job description

Hourly Pay Range: $22.14 - $33.21 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Job Description: Position Highlights: Position: Denial Management Specialist Location: Arlington Heights, IL: Full Time/Part Time: Full Time: Hours: Monday-Friday, standard business hours: A Brief Overview: Reviews claim denials which pertain to medical necessity, pre-certification, authorization, and level of care requirements. This involves interaction with Physician Practices, Providers and Payers. What you will do: Reviews and resolves denied patient insurance claims. Works closely with internal departments in determining accurate denial and process for appeal. Contacts insurance companies/payer or patients to gather information necessary to complete the appeal process. Sends appeals to insurance companies regarding denials by resubmitting corrected claim, submitting medical records and writing appeals letters in a timely manner Provides process improvement recommendations to Supervisor to decrease future denials. Utilizes software tools to identify denial, trends and payer issues. Shares findings with stakeholders. Follows up on...