Denial Resolution Specialist I

UMass Memorial Medical Center
Worcester, MA
Category Healthcare
Job Description
Denial Resolution Specialist I is responsible for reviewing, analyzing and initiating appropriate action for denial resolution by communicating with payers, hospital departments and patients for data as assigned. The position involves completing actions needed for an effective appeal, corresponding with third party payers, hospital departments, and patients to obtain information required for denial resolution, and analyzing and researching the denial reasons for each assigned denial code.

Requirements

  • High School diploma
  • Previous Revenue Cycle knowledge in one of the following areas: PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement
  • Ability to perform assigned tasks efficiently and in timely manner
  • Ability to work collaboratively and effectively with people
  • Exceptional communication and interpersonal skills

Benefits

  • Health insurance
  • Paid time off
  • Retirement plan
  • Signing bonus
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