Job Description

Responsibilities

Job Description:

  • Investigate and resolve complex AR/denial issues.
  • Analyze denial trends to identify areas for process improvement.
  • Initiate and lead payer calls for escalated denial inquiries and disputes.
  • Develop and implement strategies to reduce aging and denial rates while improving reimbursement.
  • Collaborate with internal stakeholders to address root causes of denials.
  • Mentor Level 1 associates in advanced AR/denial management techniques.
  • Prepare and submit appeals for denied claims as needed.
  • Maintain comprehensive documentation of denial activities and outcomes.

Requirements

  • Associate degree in healthcare administration or a related field (preferred).
  • Minimum of 1.5 years' experience in denial management or revenue cycle management.
  • Proficiency in medical billing software and den...

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