Denials Resolution Specialist
If you are interested in taking the next step in your career please send your resume to zac.rawson@randstadusa.com and apply for the position.
salary: $17.28 - $18.28 per hourshift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities- Reviews ETM worklist to process rejections according to written procedures.
- Reviews rejections to identify trends and carrier issues that need to be reported to management.
- Obtains appropriate carrier information for rejected claims.
- Information obtained from carrier indicates related to provider rejection. Directs rejections to the Provider Enrollment Department.
- Maintain knowledge of ETM system.
- Participates in monthly meeting with Denials Resolution Supervisor.
- Communicates with Denials Resolution Supervisor for unusual circumstances that may include adjustments, denials, fee schedules, claims, etc.
- Performs any and all duties as directed by Senior Representative, Denials Resolution Supervisor and Accounts Receivable Manager.
- Medical Billing - Denials
- ICD-10
- CPT Codes
- Communication
- Medical Claims
- Physician Billing
- Medical Billling (1 year of experience is required)
- Years of experience: 1 year
- Experience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
This posting is open for thirty (30) days.