Denials Analyst FT

HOURS & SHIFT REQUIREMENTS: Regular full time, 40 hours weekly, Monday thru Friday. No weekends.

GENERAL SUMMARY

To assist, investigate and correct denied claims of Medicare, Medicaid, Commercial Insurance and Private pay accounts receivable. There will be phone and email interaction with Third Party Payers, family members and patients whom we are needing to obtain correct and up to date insurance information in order to resubmit denied claims. Looking for a highly organized individual with exceptional excel skills. Prior insurance and billing experience a plus.

GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT

To provide personalized, professional healthcare services to the residents of the communities we serve.

PRINICIPAL DUTIES AND RESPONSIBILITIES

1. Daily claim denial auditing recorded in excel sheets
2. Monthly denial reports worked then sent to clinics for review.
3. Prepare training material in relation to denied claims to ensure reduction of denied claims.
4. Work denials from beginning to end including rebills when necessary.
5. Additional duties assigned by Clinical Denials Manager.