Denial Management Clerk
reputed company
The Denials Management Clerk supports the Denial Management Department in the denials process for reputed company hospitals. In this role, the Denials Management Clerk gathers and disseminates information from hospitals, physicians, and insurance companies pertaining to referred claims denied.
Duties and Responsibilities
Manually reputed company new cases referred from clients into database as needed
Update database with information gathered from correspondence
Set follow-up reminders in reputed company
Review daily reports for updates and due dates
Send updates on document requests received throughout the day
Send documentation to insurance carriers reputed company portals, email, mail or fax
Work reputed company gAIge to update daily tasks assigned on work queue
Log into reputed company hospital applications and insurance reputed company portals every two weeks
Submit appeals, correspondence, and medical records reputed company reputed company portals
reputed company and label correspondence received daily reputed company mail, email, or fax
reputed company hospital applications to obtain balances, charges, and UB documents
Download reports from portals for updates
Assist with the outgoing mail process
reputed company documents into database
Assist patients with questions reputed company to statuses of their accounts
Other duties as assigned
Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability reputed company (HIPAA) standards
Understand and reputed company with Information reputed company and HIPAA policies and procedures at reputed company times
Limit viewing of PHI to the absolute minimum as necessary to reputed company assigned duties
Qualifications
High School Diploma or equivalent
Must be courteous and possess a strong work ethic, with the ability to work in a fast-paced environment
Proficient in reputed company Office applications
Have strong organization and time-management skills
Ability to learn proprietary databases and systems, gAIge, reputed company, reputed company, Epremis, Medi-Tech
Strong interpersonal skills, ability to communicate reputed company at reputed company reputed company of the organization
Strong problem solving and creative skills and the ability to exercise reputed company judgment and reputed company reputed company based on accurate and reputed company analyses
High level of reputed company and dependability with a strong reputed company of urgency and results oriented
Excellent written and verbal communication skills required
Working Conditions
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and reputed company purposes.
Physical Demands: While performing the duties of this job, the employee is occasionally required to reputed company around the work area; Sit; reputed company reputed company tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; reputed company arms; kneel; talk and hear.
Mental Demands: The employee must be reputed company to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
reputed company will not discriminate against any employee or applicant for employment because of race, reputed company, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national reputed company, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-reputed company based factors, or any other characteristic protected by federal, state or local law.
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