Denial Prevention Specialist - Daytona Beach

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Detalles del trabajo

Area del puesto: Servicios Generales / Varios

Publicación: hace 3 años
Ubicacion del puesto: Florida - Estados Unidos
Trabajo remoto: No
Descripción

TRC STAFFING IS HIRING A DENIAL PREVENTION SPECIALIST

Job Description: The Denial Prevention Specialist reviews and submits clean claims for each client within the specified times and in accordance with standard operating procedures. This position must be able to understand coding procedures, payor requirements and client specific requirements to correctly process claims. The Specialist must also be able to research questionable claims and identify gaps in procedures.

Location: Holly Hill, FL

Number of Openings: 1

Starting Pay Rate: Depends on Experience (DOE).

Hours: Monday-Friday, 40 hours a week.

Type: This is a Contract to Hire Permanent Position.

Denial Prevention Specialist Duties and Responsibilities:

  • Review and billing encounters per state/insurance guidelines in accordance with client SOPs
  • Correcting internal edit or errors affecting claim submission
  • Quantifying data for reporting purposes
  • Claim submission
  • Responsible for other operational functions such as clearinghouse rejections, portal entry, paper claims, or hospital charge entry
  • Responsible for returned encounters, when necessary, and creating tickets in the client portal

Denial Prevention Specialist Qualifications and Requirements:

  • At least two years of billing experience
  • CPC certification required
  • A background in hospital and/or medical facility preferred
  • Knowledge of medical billing/insurance practices
  • Knowledge of billing computer software
  • Comprehensive understanding of how to process paper and electronic medical claims
  • Knowledge of basic medical coding and third-party operating procedures and practices
  • Ability to read, understand and follow oral and written instructions
  • Ability to establish and maintain effective working relationships with insurance company representatives and colleagues
  • Must be well organized and detail-oriented

Send resumes to: donna.ballard@trcstaffing.com

If you have any questions or need further information, please call 386-235-0122.

ONLY QUALIFIED CANDIDATE WILL BE CONTACTED.

DRUG SCREEN, BACKGROUND CHECK AND REFERENCE CHECKS REQUIRED.

“LIKE” and “FOLLOW” our TRC Staffing – Daytona/Merritt Island Facebook pages and you will receive all new job alerts in your news feed.

TRC Staffing is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to gender, race, color, religious creed, national origin, age, sexual orientation, gender identity, physical or mental disability and veteran status.

Although the emergence and progression of COVID-19 has changed our personal and professional routines, TRC is actively recruiting, interviewing, and placing candidates for all manner of positions. For information on applying, or your current application status, please contact your branch location via email, phone, or the TRC candidate portal.

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Clerk General | Neuvoo
Estados Unidos