LifeCare Medical Center
Denial Resolution Specialist
LifeCare Medical Center, Roseau, Minnesota, United States, 56751
LifeCare Medical Center715 Delmore Dr.Roseau, MN 56751, USA
The Denial Resolution Specialist will be in constant communication with a variety of insurance companies for payment resolution. They must communicate persuasively, with a clear understanding of denial codes and reasons and help formulate responses to those denials. The Denial Resolution Specialist will also assist in other administrative duties including working in other payer systems to do claim follow up.We invite you to join our team as we continue on our commitment of caring for generations.Since 1915, LifeCare Medical Center has been dedicated to providing quality healthcare in our region. At LifeCare Medical Center, we value every person and take our patient’s healthcare needs seriously. Our employees are the foundation for our success. We’ve fostered a collaborative environment centered around compassion, accountability, respect and excellence. At LifeCare, you will have the opportunity to thrive in a life changing career, within a culture of teamwork, professionalism, and respect.What you’ll get to do in this role:Reviews EPIC WQ's to monitor claim denialsCommunicate with insurance carriers for the resolution and explanation of insurance denialsAnalyze reimbursement to assure proper payment according to insurance contractsPerforms retrospective and prospective account reviews and resolves coding edits to ensure accurate coding and documentation supporting reimbursementComprehensive understanding of insurance EOB'sReviewing claims, reporting denial trends, keeping detailed records of communications for claim processingDevelops suggestions for coding and documentation process improvements, based on denial analysis and payor requirementsAssists with preparation of reports and report analysis for reimbursement and utilization issuesSummarizes data and findings of denials and reports data to Revenue Cycle DirectorPerforms internal audits to ensure billing compliance and optimal reimbursementKnowledge of filing and tracking medical insurance appealsMust have excellent follow up and follow through skillsYou’re an excellent fit, if you have:Experience in the health insurance, related fieldsAbility to work independentlyGood attention to detailSkills to follow up and follow throughBenefits statement:LifeCare Medical Center offers an attractive benefits package for qualifying employees. Depending upon eligibility, we offer a variety of benefits including health, dental, and life insurance. We also offer short and long-term disability, tuition assistance, a 403(b)-retirement plan, and a generous time off package to help employees maintain a healthy work-life balance.The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.LifeCare Medical Center is an Equal Opportunity Employer (EOE)
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The Denial Resolution Specialist will be in constant communication with a variety of insurance companies for payment resolution. They must communicate persuasively, with a clear understanding of denial codes and reasons and help formulate responses to those denials. The Denial Resolution Specialist will also assist in other administrative duties including working in other payer systems to do claim follow up.We invite you to join our team as we continue on our commitment of caring for generations.Since 1915, LifeCare Medical Center has been dedicated to providing quality healthcare in our region. At LifeCare Medical Center, we value every person and take our patient’s healthcare needs seriously. Our employees are the foundation for our success. We’ve fostered a collaborative environment centered around compassion, accountability, respect and excellence. At LifeCare, you will have the opportunity to thrive in a life changing career, within a culture of teamwork, professionalism, and respect.What you’ll get to do in this role:Reviews EPIC WQ's to monitor claim denialsCommunicate with insurance carriers for the resolution and explanation of insurance denialsAnalyze reimbursement to assure proper payment according to insurance contractsPerforms retrospective and prospective account reviews and resolves coding edits to ensure accurate coding and documentation supporting reimbursementComprehensive understanding of insurance EOB'sReviewing claims, reporting denial trends, keeping detailed records of communications for claim processingDevelops suggestions for coding and documentation process improvements, based on denial analysis and payor requirementsAssists with preparation of reports and report analysis for reimbursement and utilization issuesSummarizes data and findings of denials and reports data to Revenue Cycle DirectorPerforms internal audits to ensure billing compliance and optimal reimbursementKnowledge of filing and tracking medical insurance appealsMust have excellent follow up and follow through skillsYou’re an excellent fit, if you have:Experience in the health insurance, related fieldsAbility to work independentlyGood attention to detailSkills to follow up and follow throughBenefits statement:LifeCare Medical Center offers an attractive benefits package for qualifying employees. Depending upon eligibility, we offer a variety of benefits including health, dental, and life insurance. We also offer short and long-term disability, tuition assistance, a 403(b)-retirement plan, and a generous time off package to help employees maintain a healthy work-life balance.The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.LifeCare Medical Center is an Equal Opportunity Employer (EOE)
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