Hospital Billing Denials Specialist
2 weeks ago
Job Title: Hospital Billing Denials Specialist
Job Summary: We are seeking a detail-oriented and experienced Hospital Denials and Follow-up Biller to manage denied claims, resolve billing issues, and optimize revenue recovery.
Key Responsibilities:
- Analyze and review denied claims to identify denial trends and determine reasons for denials.
- Prepare and submit appeals for denied claims, ensuring the inclusion of all required documentation.
- Conduct timely follow-up on outstanding claims and appeals to ensure prompt resolution and payment.
- Collaborate with supervisors, the denials team, insurance companies, and internal departments to resolve denied claims efficiently.
- Maintain accurate records of denied claims, appeals, and resolutions in the billing system.
- Stay updated on healthcare regulations, insurance policies, and payer requirements to ensure compliance and prevent future denials.
- Generate detailed reports on denial trends and recovery rates to provide insights for process improvements.
Qualifications:
- Bachelor's degree in Healthcare Administration, Business, or a related field.
- A minimum of 5 years of industrial experience in hospital billing, denials management, and claims follow-up.
- Strong analytical and problem-solving abilities, proficiency in billing software and Microsoft Office Suite, and excellent verbal and written communication skills.
About People First Consultants: We are a consulting firm dedicated to providing expert solutions for healthcare organizations. Our team is passionate about delivering high-quality services that meet the evolving needs of our clients.
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