DENIAL MANAGEMENT SPECIALIST - TIER I

Job description

Job DetailsJob Location: Hammond, LA 70403Position Type: Full TimeJob Shift: DayJob Category: Admin - ClericalDefinition and Role Under the direction of the Assistant Director of Revenue Cycle – Revenue Recovery, the Denial Management Specialist is responsible for monitoring denials, appeals, and resolutions from participating insurance carriers and working proactively to collect from insurance carriers. Job Responsibilities and Duties: Researches and analyzes denial data and coordinate denial recovery responsibilities. Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials Develop reporting tools that effectively measure and monitor processes throughout the denials management process in order to support process improvement. Prioritizes activities to work overturns in a timely manner to alleviate untimely filings Uses reports that categorize denials to assign tasks or personally work to overturn denials Identifies and pursues opportunities for improvements in denial performance Assists with chart audits as necessary Processes work lists to facilitate prompt intervention of insurance denials Researches, res...