Specialist, Denials Management in Ontario, CA at HOSPITAL BUSINESS SERVICES, INC (HBSI)

Date Posted: 11/2/2018

Job Snapshot

  • Employee Type:
  • Location:
    3300 East Guasti Road
    Ontario, CA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

JOB SUMMARY: Pursue and overturn payer denials ? Construct effective appeals for technical denials ? Communication of root cause analysis for reduction of incoming denials ? Identification of trended and non responsive inventory and escalate for resolution. Responsible for the identification, analysis and resolution of technical based denials from insurance payers. The specialist will work with revenue cycle staff and insurance payers (Governmental/Non-Governmental) to identify the source of denials and develop processes to eliminate and/or minimize denials and rejections to improve cash flow. The specialist works denied and underpaid accounts to obtain full reimbursement for services provided through effective appeal writing as well as identify denial and underpayment root causes.