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Job Requirements

KNOWLEDGE, SKILLS, ABILITIES:
  • Clear understanding of the impact denials and underpayments have on Revenue Cycle operations and financial performance.
  • Excellent written, verbal communication and interpersonal skills.
  • Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment.
  • Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.
  • A demonstrated ability to use PC based office productivity tools (e.g. Microsoft Outlook, Microsoft Excel) as necessary; general computer skills necessary to work effectively in an office environment.Requirements
 
MINIMUM EDUCATION REQUIRED:
High School graduate or GED equivalent.
 
Minimum Experience Required
At least two (2) years prior related healthcare Revenue Cycle experience, preferably within denials/underpayments.
 
Prior experience using Epic preferred.

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Denials Underpayment Representative

Accountants One Atlanta Contractor
$20.00/ hour
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One of Atlanta's top healthcare companies is looking for a denials underpayment representative to assist in completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor contracts and processing any adjustments as required.

 
Key Responsibilities
  • Analyze and research reason(s) for denials or underpayments on each account assigned.
  • Follow worklist prioritization of accounts as established by department policies and procedures when resolving accounts.
  • Contact third-party payors and patient when necessary to the denials recovery process.
  • Request relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the denial recovery process.
  • Make necessary adjustments to patient demographic, insurance, and account balance information; process appeals, rebills, adjusted bills and other requested information in order to resolve denied claims; track progress until issue is resolved.
  • Use electronic systems to track correspondence, document follow-up/appeals activities, and to confirm receipt and determination of denials appeals.
  • Understand payor contracts, state/national guidelines, and contract management system as appropriate per account; educate team as necessary.
  • Daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate.
  • Strive for positive patient experience.Adhere to organizational policies and procedures for relevant location and job scope.
  • Complete and/or attend mandatory training and education sessions within approved organizational guidelines and timeframes.
KNOWLEDGE, SKILLS, ABILITIES:
  • Clear understanding of the impact denials and underpayments have on Revenue Cycle operations and financial performance.
  • Excellent written, verbal communication and interpersonal skills.
  • Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment.
  • Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.
  • A demonstrated ability to use PC based office productivity tools (e.g. Microsoft Outlook, Microsoft Excel) as necessary; general computer skills necessary to work effectively in an office environment.Requirements
 
MINIMUM EDUCATION REQUIRED:
High School graduate or GED equivalent.
 
Minimum Experience Required
At least two (2) years prior related healthcare Revenue Cycle experience, preferably within denials/underpayments.
 
Prior experience using Epic preferred.

Recommended skills

Claims
Computer Literacy
Interpersonal Skills
Hardworking And Dedicated
Verbal Communication
Perseverance
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