Address
Form of work
SalaryESSENTIAL DUTIES AND RESPONSIBILITIES
- The Specialist will monitor assigned pools and duties in Artiva, HMS, Hyland, BARRT and other host systems and applications with currency to follow up dates.
- File appeals as needed to resolve payer denials and work with payers and monitor appeals in process. Properly track and document all denial and appeal activity.
- Maintain working knowledge of all payer guidelines and requirements as they relate to denials and appeals.
- Maintain BARRT requests (Outbound/Inbound) timely. Maintain all logs, account notes and system records as assigned.
- Review and work RAC/Government Audit accounts as needed. Monitor AB rebills that are needed on RAC accounts and post recovery or denial adjustments as needed
- Help identify issues from denials and appeals that might be avoided on future claims. Review and analyze all denial trends and issues as assigned.
QUALIFICATIONS
REQUIRED EDUCATION
- Diploma or Equivalent education
REQUIRED EXPERIENCE
- Minimum 1 year experience in healthcare setting with experience in medical terminology.
- Experience in revenue cycle processes in a hospital or physician office.
KNOWLEDGE, SKILLS, AND ABILITIES
- Intermediate knowledge of Microsoft Office tools and/or Google platforms
Education
Required- High School or better
