Denial Resolution Specialist
This position is responsible for resolving the denials by all applicable payers of the EMHS Patient Account Services in a Centralized Business Office environment. This position is responsible for resolving denials in accordance with regulatory and contractual obligations. This position requires a thorough understanding of the requirements of the Government and Non-Government payment policies & payer contracts. In addition, this position is held accountable to adhere to the policies, procedures, and applicable laws; including metrics related to productivity and quality. This position works closely with a team of Denial Resolution Specialists to analyze and take corrective action on payer denials to ensure an optimum revenue cycle workflow.
Education and Experience
· High school diploma or equivalent required; Associate degree preferred.
· At least one year of healthcare denials experience preferred.