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Denial Management Specialist

Northside Hospital

Atlanta, GAFull-timePosted 4 days agoStill listed 3 days ago

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At a glance

Compensation
No compensation found
Location
Atlanta, GA
Schedule
Full-time
Work Authorization
Not specified

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Job overview

Northside Hospital is an award‑winning, state‑of‑the‑art health system expanding care in Atlanta and beyond, offering opportunities for healthcare professionals to grow and contribute to patient and community wellbeing.

Skills & qualifications

RequiredNice to have

Skills

Health ScienceBookkeepingBusinessInsurance CollectionsAr ReceivablesHealthcare ReceivablesDenial and Appeal ProcessesVerbal CommunicationWritten CommunicationCalculatorExcelStarMckesson Products

Qualifications

B.S. Degree in Health Science, Bookkeeping or BusinessAssociate’s DegreeThree Years Insurance Collections/Ar Receivables ExperienceFour Years Healthcare Receivables ExperienceFive Years Healthcare Receivables ExperienceCpar Certification

Full job description

Overview

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities

Files written letters of appeal on claims denied by the insurance carriers. Performs extensive telephone contact with the insurance companies to conclude payment on the denied claims. Utilizes Northside’s contract summaries to verify balances due on disputed claims.

Qualifications

  • B.S. degree, or equivalent college courses, in Health Science, Bookkeeping or Business, plus 3 years insurance collections/ AR receivables experience

OR

  • Associate’s degree, plus 4 years experience in healthcare receivables or related field.

OR

  • 5 years experience in healthcare receivables or related field

  • Knowledge of healthcare receivables and collections, including denial and appeal processes.

  • Good verbal and written communication skills.

  • Proficient calculator experience.

Preferred:

  • CPAR certification.

  • Knowledge and experience with Excel.

  • Experience with STAR, McKesson products.

Work Hours: 7AM-3:45PM

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