As a Denials Specialist, you will play a crucial role in optimizing our client's revenue cycle by identifying and resolving denied claims. You will work collaboratively with the billing team, coding specialists and other stakeholders to ensure timely reimbursement.
Denials Specialist Responsibilities:
- Review denied claims to identify reasons for denials, such as coding errors, documentation issues or contractual limitations
- Research and analyze payer policies and guidelines to determine appropriate appeal strategies
- Prepare and submit accurate appeals to insurance carriers within established timeframes
- Track the status of appeals and follow up with payers to expedite the resolution process
- Identify trends in denials and work with the coding and billing teams to implement corrective measures
- Maintain accurate records and documentation of all denials and appeals activities
- Collaborate with other departments to improve overall revenue cycle efficiency
Denials Specialist Requirements:
- Bachelor's degree in healthcare administration, business administration or a related field preferred
- 2+ years of experience in healthcare revenue cycle management, with a focus on denials management
- Strong understanding of medical coding and billing practices
- Knowledge of payer regulations and reimbursement guidelines
- Excellent analytical and problem-solving skills
- Strong attention to detail and organizational abilities
- Excellent written and verbal communication skills
- Proficiency in Microsoft Office Suite
If you meet the above qualifications, we invite you to apply today!
Thank you,
Courtney Corcoran
Unit Manager
LaSalle Network
LaSalle Network is an Equal Opportunity Employer m/f/d/v.
LaSalle Network is the leading provider of direct hire and temporary staffing services. For over two decades, LaSalle has helped organizations hire faster and connect top talent with opportunities, from entry-level positions to the C-suite. With units specializing in Accounting and Finance, Administrative, Marketing, Technology, Supply chain, Healthcare Revenue Cycle, Call Center, Human Resources and Executive Search. LaSalle offers staffing and recruiting solutions to companies of all sizes and across all industries.
LaSalle Network is the premier staffing and recruiting firm, earning over 100 culture, revenue and industry-based awards from major publications and having its company experts regularly contribute insights on retention strategies, hiring trends and hiring challenges, and more to national news outlets. LaSalle Network offers temporary Field Employees benefit plans including medical, dental and vision coverage. Family Medical Leave, Worker's compensation, Paid Leave and Sick Leave are also provided. View a full list of our benefits here: https://www.thelasallenetwork.com/wp-content/uploads/2024/04/Field-Employee-Benefits-LaSalle-Network.pdf
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