Responsible for managing denied claims, following up with insurance payers, and supporting accurate reimbursement for hospital services.
The role focuses on investigating, correcting, and resubmitting denied claims while partnering with the Revenue Cycle Management team to identify denial trends and improve cash flow.
Key duties include denial management, insurance follow-up, account reconciliation, and reporting on denial patterns and recovery outcomes.
Requirements & Qualifications
Qualifications
- High school diploma or GED, or 3 years of experience in a healthcare setting
- Minimum 6 months of clerical experience
- Prior physician/provider professional fee billing experience preferred
- Familiarity with payer requirements, denial codes, and appeals processes for Medicare, Medicaid, and commercial plans
- Strong knowledge of healthcare claims processing, insurance reimbursement, and medical terminology
- Proficiency with EHR and revenue cycle management software
- Excellent analytical, organizational, time management, and communication skills
- Proficient with Microsoft Office
- Ability to use personal transportation for courier services
- Valid driver’s license and automobile liability insurance
- Ability to perform medium work and tolerate prolonged sitting
Location
Alabama, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
4 weeks ago