Physician Billing - Denials Specialist
Mercy Health
Center Hill Service Center
2d ago

Thank you for considering a career at Mercy Health!

This is what we were meant to do - Together!

Summary :

The Denials / Audit Specialist performs all denial and audit activities. Job duties include, but are not limited to, contacting insurance companies to determine reasons claims are unpaid, correcting and resubmitting claims in a timely manner to ensure payment, identifying trends in denied payments by insurance companies to remediate issues, identifying changes with insurance company policies to ensure compliant billing, communicating with other departments to resolve denial issues and submitting appeals in a timely manner.

Essential Functions :

  • Denials Specialist responsibilities include coordinating audit activities
  • Contacting insurance companies to determine reasons claims are unpaid
  • Correcting and resubmitting claims in a timely manner to ensure payment
  • Identifying trends in denied payments by insurance companies to remediate issues
  • Identifying changes with insurance company policies to ensure compliant billing
  • Submit appeals in a timely manner
  • Performs other duties as assigned

    Qualifications :

  • High School diploma or GED required, Bachelor’s Degree preferred.
  • Minimum of three-five years of management experience in healthcare industry with professional billing experience preferred.
  • Excellent skills of organization, financial analysis, communication and problem solving.
  • PC and computer application knowledge and experience.
  • CRCR within 6 months of hire
  • Mercy Health is an equal opportunity employer.

    We’ll also reward your hard work with :

  • Great health, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w / AD&D
  • An employer-matched 403(b) for those who qualify.
  • Paid time off
  • Tuition reimbursement
  • And a lot more
  • S cheduled Weekly Hours :

    Work Shift : Department :

    Department : Prof Billing Services

    Prof Billing Services

    All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability.

    If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health Youngstown, which is an Affirmative Action and Equal Opportunity Employer, please email recruitment mercy.

    com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment mercy.com.

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