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Form of workJob Description
As our Denial Specialist you will help with quicker claim resolution, working with the Revenue Cycle Director, Credentialing Administrator and Accounts Receivables staff. You will support our revenue stream and identify trends and improve clean claim rates. You will defend, and appeal denied claims, re-adjudicate rendering provider issues, and research underlying root cause, collecting required information or documents, adjusting accounts to be paid, and all appropriate follow up activities to ensure accurate adjudication of claims. You will work in a hybrid role, coming to the office between two (2) to three (3) day per week. You will report to the Revenue Cycle Manager.
Job ProfileDo you have experience with third-party, commercial insurance, Medicaid or Medicare?
Are you looking to use your billing and research expertise to ensure MHP gets paid form denied claims?
Do you have experience with complex billing processes?
Do you have experience, digging deep into billing issues and find solutions?
Are you the one who looks for details, sees patterns, trends, and can find the cause of a problem, then offer a solution?
Is that a YES? Now is the time to jump on this opportunity to contribute to Mental Health Partners and join our mission.
What's In It For You:Medical (Kaiser and Cigna options), dental, vision, FSA, HSA, life, disability, and 403(b) retirement (with company match) plans.
Paid time off, paid holidays, and a comprehensive wellness program.
Commitment to Justice, Equity, Diversity, and Inclusion work
Company contribution to student loans
Engaged employer who believes you are an important factor in delivering our mission to the community with lots of opportunity to for dialogue with leaders
Training, personal, and professional growth opportunities
Supportive team that will participate in your development
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.
As a condition of employment, you will be required to receive the COVID-19 vaccination (and any subsequent boosters) and the annual influenza vaccine. Medical exemptions or religious accommodations may be requested.
What we need for this job:
High school diploma or GED required.
Three (3+) years of healthcare financial/business office and similar third-party payer claim denial management and appeal experience.
