Careers Home / Jobs /

Denials Specialist

Job ID: 4666982
Updated: October 11, 2018
Geographic Location: 
Department: Denials Underpayments
Full/Part Time: Full-Time
Shift: Days
Standard Hours: 40
This job is no longer active. View all active jobs.

Job Summary

This position is located onsite with Mercy Health, a client of Ensemble Health Partners. To learn more about Mercy, click the link below to apply.

The Denials Specialist performs all denial and audit activities across Ensemble Health Partners

Job duties include, but are not limited to, contacting insurance companies to determine reasons claims are unpaid, correcting and resubmitting claims in a timely manner to ensure payment, identifying trends in denied payments by insurance companies to remediate issues, identifying changes with insurance company policies to ensure compliant billing, communicating with other departments to resolve denial issues and submitting appeals in a timely manner.   

Denials Specialist responsibilities include coordinating audit activities, contacting insurance companies to determine reasons claims are unpaid, correcting and resubmitting claims in a timely manner to ensure payment, identifying trends in denied payments by insurance companies to remediate issues, identifying changes with insurance company policies to ensure compliant billing, and submitting appeals in a timely manner.

Performs other duties as assigned

Minimum Education:

High School Diploma or GED

Preferred Education:

2 year / Associates Degree

Minimum Requirements:

 2 years applicable experience strongly preferred in the following revenue cycle areas: billing, AR follow-up, denials & appeals, compliance, and/or provider relations.

Hours

Full-time, 40 hours per week, days

 

Equal Employment Opportunity

It is our policy to  abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

About Us

This position will be a part of the revenue cycle team at Ensemble Health Partners - a wholly owned subsidiary of Mercy Health. Ensemble Health Partners specializes in providing revenue cycle solutions and creating real value for its clients by building relationships, reducing revenue cycle spend and delivering exceptional results. Ensemble partners with hospitals across the United States to make real and lasting improvements that impact the bottom line.

This job is no longer active. View all active jobs.

Search

JOB ID/Keyword Search
 

loading