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9 hours ago
Job Title:
Denial Resolution SpecialistAs a Denial Resolution Specialist, you will play a crucial role in ensuring the smooth flow of revenue within our organization. Your primary responsibility will be to initiate calls to insurance companies to inquire about denied claims, maintaining thorough records of all interactions and follow-up actions.
Key Responsibilities:
- Follow-up and Resolution: You will be responsible for initiating calls to insurance companies to resolve denied claims in a timely manner.
- Documentation: Accurate documentation is essential to this role, as you will need to maintain comprehensive records of all interactions and follow-up actions.
- Re-submittal: In some cases, re-submitting claims with corrected information or appealing denials may be necessary to ensure successful resolution.
- Communication: Effective communication with patients and internal stakeholders is vital, as you will need to inform them about denial statuses and resolution efforts.
Role in Denial Management:
- You will assist healthcare providers in recovering revenue from claims through effective denial management strategies.
- By speeding up the revenue cycle through denial management and account receivable calling, you can improve cash flow within our organization.
- Maintaining positive patient relationships is critical, as you will need to explain denial reasons and ensure they understand the process.
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