Denials Management Specialist
The posted compensation range of $15.49 - $21.30 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
As our Denials Management Specialist at CHI St. Vincent Heart Clinic of Arkansas, you will help our revenue cycle team recover maximum reimbursement so they can maintain the financial health of the clinic.
Every day you will investigate and appeal denied claims. You will be expected to perform thorough claim analysis, communicate effectively with payers, and implement denial prevention strategies.
To be successful in this role, you must have strong knowledge of healthcare reimbursement, excellent problem-solving skills, and a proven track record in denials management.
CHI St. Vincent Heart Clinic of Arkansas is a cardiology subspecialty clinic for the diagnosis and treatment of diseases and conditions of the heart and vascular systems. We take care to get a proper diagnosis and develop a personalized treatment plan to ensure the best outcome and quality of life for each patient. We are part of CommonSpirit Health which operates 139 hospitals and more than 1,000 care sites across 21 states, making our services accessible to nearly 1 in 4 U.S. residents.
If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.
Responsibilities
- Posting insurance or patient payments, keying in denials, posting zero insurance payments.
- Searching for explanations of benefits from different payers, tracking down denials and zero pays.
- Correcting claims, rebilling claims, entering in EOB for secondary claims, rekeying in charges.
- Researching unpaid claims and credit balances, reviewing requests for refunds and recoupments.
- Help to answer patients’ phone calls to pay and assist with billing questions from patients.
Qualifications
- High School Diploma/ GED required
- Three (3) years' experience posting payments or working denials at a hospital or physician office
While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, and more!
Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.
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Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.
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Equal Opportunity
CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].
CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.