Denial Management and Collections Specialist
Experience
Salary
Location
Job Description
1. Denial Management:
· Analyze and resolve claim denials promptly, identifying root causes and implementing corrective actions.
· Collaborate with billing and coding teams to prevent recurring denials and improve overall claims acceptance rates.
2. Appeals and Resubmissions:
· Prepare and submit appeals for denied claims, providing necessary documentation to support claim reconsideration.
· Monitor the status of appealed claims and take appropriate actions to expedite resolution.
3. Patient Collections:
· Engage in insurance collections activities, including making follow-up calls, and setting up payment plans.
· Provide clear communication to address inquiries regarding billing and outstanding balances.
4. Analysis:
· Analysis of generated reports on denial trends, collection activities, and outstanding balances, providing insights for process improvement.
5. Collaboration with Internal Teams:
· Work closely with billing, accounts receivable, and customer service teams to ensure a cohesive and effective approach to denial management and patient collections.
Qualifications:
· Excellent attention to detail and accuracy in data entry and documentation.
· Strong analytical and problem-solving skills.
· Effective communication skills, both verbal and written.
· Ability to work independently and collaboratively within a team.
Designation
Denial Management and Collections Specialist
Key Skills
Industry
Healthcare
Functional Area
Healthcare Management
Employment Type
Full Time
Education
Bachelor Degree
Job Type
Work From Office
Assessment Details
Denial Management and Collections Specialist Quiz
30 Minutes
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