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Medical Claims Denials and AR Denials Specialists
Fort Worth, TX 76109 US
Job Description
Company Profile:
Successful Healthcare organization
Passionate about what they do
In business 30+ years
Medical Claims Denials and AR Denials Specialists Role:
For this project, you will be focusing on a backlog of billing that needs to be resolved. This could involve resolution, or could be determining if it is an accurate charge.
The primary payer for all states is Medicaid.
Responsibilities will include determining the root cause of the denial, appealing the denial, pursing the payor for reconsideration, taking appropriate resolution steps, tracking recoveries, and successfully recovering denied amounts as efficiently as possible.
You will assist in tracking and reporting payor denials and contract/authorization related discrepancies.
You will resolve claim denials, adjusting claims as required by plan reimbursement or by filing appeals.
You will contact the appropriate state for claim resolution guidance.
Responsible for performing billing audits and quality control functions.
Medical Claims Denials and AR Denials Specialists Background Profile:
High School diploma or equivalent
2+ years of claim denial resolution experience
Must have experience in working denials, AR Resolution experience, billing experience
Experience and familiarity with medical billing software
MS Office Suite – Intermediate Excel – ability to manipulate data
The ideal candidate will have excellent verbal and written communication skills, strong attention to detail and accuracy, and the ability to multi-task effectively.
Ability to effectively appeal denials and communicate with payors and other departments
Knowledge of the payor appeal timeframes, levels and operations
Healthcare industry is required
Knowledge of compliance regulations as they pertain to billing
Features and Benefits while On Contract:
We go beyond the basic staffing agency offerings! You can see the extensive list of benefits on our website under the Candidate “Benefits” tab.
Frontline Source Group is an Equal Opportunity Employer. Candidates must be authorized to work in the United States without sponsorship. The client cannot sponsor any visas.
Disclaimer: sensitive and personal data will not be requested by Frontline Source Group or its affiliates until a job offer is made and accepted. If you ever doubt the validity of our job postings, we encourage
Job Requirements
Meet Your Recruiter
Colette Reinhardt
I am a Staffing Account Executive with over 10 years of experience in the staffing industry. I am focused on building lasting relationships with clients by supporting them in their need to find top talent in a tight market. I enjoy the personal connection with each client, getting to know them, understanding their positions, and helping them find top talent for their organization from a cultural fit as well as a skill fit. I want every client I work with to feel that they have 100% of my attention and time, and that level of customer service is what I strive for daily.
At Frontline Source Group™, we specialize in providing high-quality temporary, temp-to-hire, and direct placement candidates in Technology/IT, Accounting, Finance, Administrative, Customer Service, Human Resources, Engineering and Oil & Gas.