Central Denials Account Representative - Full Time, Days, Onsite

Job description

Job Family: Patient Account Representative Travel Required: None Clearance Required: None What You Will Do: The Central Denials Account Representative conducts thorough account reviews to determine the appropriate action needed to resolve the account balance. This includes reviewing and performing the following: 227 Electronic Files 835 Electronic Files UB04’s and 1500 Claim Files: Medical Records: Making outbound calls to insurance companies to resolve claim denials and account balances. Performing Non-Clinical Appeals. Assisting Supervisor/Manager as needed with various projects. Escalate payer issues/trends to a supervisor with the appropriate information or take appropriate action so that the issue expert can effectively resolve the matter. Communicate to Supervisor/Manager areas of concern or areas of improvement. Resubmit Corrected Claims and supporting documentation as need for the patient experience. Communicate with other organizational departments to ensure proper handling of patient accounts. Communicates issues to management timely and performs other duties as assigned by direct supervisors. Perform a variety of duties often changing from one task to another of a differ...