Medicare Follow-up, Denials and Appeals Specialist in Vinings, GA at Prestige Staffing

Date Posted: 10/24/2019

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Vinings, GA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    10/24/2019

Job Description

JobID: 24128

Prestigious Hospital in Atlanta looking for a Medicare Follow-up, Denials and Appeals Specialist

Prestige Staffing has been tasked by one of our best clients to find a Medicare Follow-up, Denials and Appeals Specialist. If you want the opportunity to work in a rewarding and dynamic environment, this is your chance. This is a contract to permanent position. Pay is based upon experience.

Requirements:

  • A minimum of 4 years of Medicare Collections, Denials & Appeals experience
  • Hospital Follow-up experience is required
  • Epic experience is a plus
  • Must be professional, articulate and driven to succeed

Responsibilities:

  • Follow up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary
  • Identify and bill secondary or tertiary insurances
  • Follow specific payor guidelines and medical policies for appeal submissions
  • Escalate exhausted appeal efforts to the appropriate parties
  • Research and analyze denial data and coordinate denial recovery responsibilities
  • Review patient medical records and utilize regulatory and payor knowledge to Identify, analyze, and research frequent root causes of denials and develops corrective action plans for resolution
  • Document all account activity on each account through descriptive account notes in employer’s system

This is a Monday through Friday position.

Only candidates with at least four years of Medicare Follow-up, Denials and Appeals experience will be considered for this position.