Insurance Denials Specialist – Hybrid

We are an acute care medical center looking for an Insurance Denials Specialist for our growing (Hospital Centralized Business) Billing department. As the Insurance Denials Specialist, you will be responsible for providing collection and management of accounts, following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims when appropriate, and following up on all denials to ensure reprocessing and payment in a timely manner.

Title: Insurance Denials Specialist
Location: White Plains, NY
Salary: $65,000 (DOE)

Responsibilities:
Submission of appeals to third-party payers to recover additional revenue
Investigate payer rejections and denials
Work all denials that pertain to including but not limited to, Duplicate Claim, Timely Filing, EOB requests, Not Medically necessary denials, and COB denials
Review and trend denial issues identifying root cause and bring accounts to final resolution
Communicate information and make recommendations to improve current processes to eliminate future denials occurrence

Requirements:
Previous Hospital Billing/Follow Up and Denials Hospital experience
Medical terminology helpful but not mandatory