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Patient Accounting Denials Specialist – I
Presbyterian Healthcare Services. Performs denial follow-up activities for assigned payors utilizing work queues .
About the role
Key responsibilities & impact- Performs denial follow-up activities for assigned payors utilizing work queues
- Submits corrected claims, reconsiderations and/or appeals to overturn denials
- Responsible for providing any information requested by insurance companies to process claims and overturn denials
- Document accounts in accordance with established PHS policies/procedures
- Actively participates in team meetings and communicates work related ideas and concerns
- Maintains strictest confidentiality, adheres to all HIPAA and CMS compliance rules and regulations
Requirements
What you’ll need- High school degree or GED required
- Short-term training on insurance collections and claims processing
- Minimum two years’ experience in insurance follow-up, billing, and collections
- Demonstrated ability to communicate effectively via telephone and in writing
- Must be computer literate
- Experience with Microsoft Office Suite products preferred
Benefits
Comp & perks- Health insurance
- Dental insurance
- Vision insurance
- Short-term disability
- Long-term disability
- Group term life insurance
- Optional voluntary benefits
- Employee wellness rewards program
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance collectionsclaims processingbillingdenial follow-upcorrected claimsreconsiderationsappeals
Soft Skills
communicationteam participationconfidentiality
Certifications
high school degreeGED