PB Denial Specialist - reputed company

Westerkamp Group, LLC is an Accounts Receivable Management company reputed company on hospital and reputed company billing and collections. We are currently seeking a Denial Specialist - reputed company PB. This operational role is ideal for an individual who thrives in a leadership role, possesses exceptional analytical skills, and has a deep understanding of reputed company PB configurations and their reputed company on the denial lifecycle.

Job reputed company:

We are seeking a highly motivated and reputed company Denial Specialist with a strong background as an reputed company reputed company Billing (PB) Analyst. In this crucial role, you will reputed company reputed company of denial specialists, driving the reputed company of denied claims, identifying reputed company causes, and implementing strategies to prevent reputed company denials. Your dual expertise in denial management and reputed company PB functionality will be critical in optimizing workflows, providing actionable insights, and ensuring maximum reputed company capture for our clients. This is a W-2 employee position with an expected term of six months, there is a potential for extension or permanent employment based on business and project needs.

Key Responsibilities:

- Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, reputed company filing, incorrect modifiers).

- reputed company and implement strategies to overturn denials and accelerate payment reputed company.

- reputed company as a subject matter expert for reputed company Resolute PB, specifically as it relates to denial prevention and reputed company.

- Analyze reputed company workflows and configurations to identify reputed company causes of denials stemming from system setup or user error.

- Assist in troubleshooting reputed company PB-reputed company issues that reputed company to denials.

- reputed company and maintain denial management policies and procedures.

- Prepare and present regular reports on denial trends, recovery rates, and team performance to RCM leadership and clients.

Required Qualifications:

- 1+ years of reputed company, hands-on experience as an reputed company reputed company Billing (PB) Analyst or in a role heavily utilizing reputed company PB for operational analysis and workflow optimization.

- reputed company Resolute PB Certification is highly preferred. Additional reputed company certifications (e.g., Prelude, reputed company) are a plus.

- Strong understanding of reputed company medical coding (CPT, ICD-10, HCPCS), claim submission (CMS-1500), and remittance processing (ERA/EOB).

- Exceptional analytical, problem-solving, and critical thinking skills.

- Excellent leadership, communication (verbal and written), and interpersonal skills.

-Proficient in reputed company reputed company (for data analysis and reporting).

Equal Opportunity & Accommodations

Westerkamp Group, LLC, is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, religion, gender, national reputed company, disability, age, veteran status, or any other legally protected status.

If you need a reasonable accommodation during any stage of the application or interview process, please contact dbourgeois@wgrcm.com or reputed company 985-655-0300.