Denial Management Specialist

Overview:

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Files written letters of appeal on claims denied by the insurance carriers. Performs extensive telephone contact with the insurance companies to conclude payment on the denied claims. Utilizes Northside's contract summaries to verify balances due on disputed claims.

REQUIRED:

1. a. B.S. degree, or equivalent college courses, in Health Science, Bookkeeping or Business, plus 3 years insurance collections/ AR receivables experience OR b. Associate's degree, plus 4 years experience in healthcare receivables or related field. OR c. 5 years experience in healthcare receivables or related field
2. Knowledge of healthcare receivables and collections, including denial and appeal processes.
3. Good verbal and written communication skills.
4. Proficient calculator experience.

PREFERRED:

1. CPAR certification.
2. Knowledge and experience with Excel.
3. Experience with STAR, McKesson products.