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Denials Analyst in Marietta, GA at Prestige Staffing

Date Posted: 3/8/2018

Job Snapshot

  • Employee Type:
  • Location:
    4901 Olde Towne Parkway
    Marietta, GA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

JobID: 17317

Prestige Staffing is looking for Denial Management Account Representatives for the Marietta area to investigate and resolve  insurance denial referrals.

Duties and Responsibilities:  

Researches and analyzes denial data and coordinate denial recovery responsibilities.

Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials.     

Prioritizes activities to work overturns in a timely manner to alleviate untimely filings. 

Uses reports that categorize denials to assign tasks or personally work to overturn denials.

Identifies and pursues opportunities for improvements in denial performance.

Processes work lists to facilitate prompt intervention of insurance denials.

Researches, responds, and documents insurer and patient correspondence/inquiry notes regarding coding coverage, benefits, and reimbursement on patient accounts.

Researches rejections included in EOBs for resolution and files appropriately.

Makes management aware of any issues or changes in the billing system, insurance carriers, and/or network.


High School graduate required; college graduate preferred


  • At least 3 years’ experience as an Account Representative in a hospital setting
  • At least 1 year experience with clinical and technical claims denial management
  • Experience with hospital Payer contracts
  • Demonstrated understanding of medical terminology required
  • Knowledge of patient confidentiality and HIPAA regulations
  • Knowledge of CPT, HCPCS, and ICD9 coding required.
  • Knowledge of medical billing and collection practices
  • Understands Medicare and Medical Assistance regulations as they apply to job functions
  • Knowledge working with electronic health records (EHR/EMR) or healthcare related computer systems
  • Excellent written and verbal skills are required as well as outstanding interpersonal skills
  • Practices efficient methods for getting work done; strong ability to prioritize workload
  • Organized; sets priorities; meets deadlines
  • Ability to work independently

Apply today!