Job description
POSITION SUMMARY:
Reporting to the CBO Denials Manager, the Denial and Appeal Specialist is responsible for managing denied claims and submitting appeals to the appropriate carrier while identifying and mitigating root cause issues.
JOB DESCRIPTION DISCLAIMER:
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
JOB SPECIFICATIONS:
Education:
Minimum Required: High school diploma or equivalent.
Preferred: Bachelor’s degree.
Experience:
Minimum Required: Five (5) years of experience in a billing or collections role in a hospital, two (2) of which utilizing electronic patient accounting systems.
Preferred: Three (3) years of managing denials and claims process with knowledge of private insurance and governmental regulations.
License/Certification:
Minimum Required: None
Preferred:
Special Skills/Training:
Minimum Required: Knowledge of the appropriate use of HCPCS, CPT4, and ICD10 codes.
Preferred: Ability to write clearly and concisely, strong interpersonal communication, ability to anticipate needs and problems, analyze and prioritize issues, ability to provide resolution alternatives, attention to detail, organized, conflict/problem resolution, effective written and verbal communication, unwavering integrity, confidentiality, and discretion.
Location: LCMC Health · Tulane-HB
Schedule: Full-time, Days, 8:00a - 4:30p
colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, colinoncars.com is the ideal place to find your next job.