Endeavor Health
Join to apply for the
Denials Management Specialist-2
role at
Endeavor Health
Hourly Pay Range
$22.14 - $33.21 – The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights
Position: Denial Management Specialist
Location: Warrenville, IL
Full Time/Part Time: Full Time
Hours: Monday-Friday, 8am-4:30pm
A Brief Overview Reviews claim denials which pertain to medical necessity, pre-certification, authorization, and level of care requirements. This involves interaction with physician practices, providers, and payers.
What You Will Do
Review and resolve denied patient insurance claims.
Work closely with internal departments to determine accurate denial and process for appeal. Contact insurance companies, payers, or patients to gather information necessary for the appeal process.
Send appeals to insurance companies regarding denials by resubmitting corrected claims, submitting medical records, and writing appeal letters in a timely manner.
Provide process improvement recommendations to supervisor to decrease future denials.
Utilize software tools to identify denial trends and payer issues. Share findings with stakeholders.
Follow up on pending claim denials after the appeal has been processed by the insurance company.
Collaborate in the collection of data and send the monthly “Managed Care Denial Report” to appropriate department leaders including the Physician Coding Manager, Physician Billing Manager, and Director, VP of EEH Physician Practices and Vice President of EEH Revenue Cycle.
Maintain positive working relationships both externally and internally.
What You Will Need
Education: High school required.
Experience: 2 years previous patient billing or 2 years managed care experience.
Skills: Extensive computer knowledge and experience. Knowledge of standard billing guidelines, CPT/ICD9 coding, usual and customary (U & C) schedules.
Benefits
Career pathways to promote professional growth and development.
Various medical, dental, and vision options.
Tuition reimbursement.
Free parking at designated locations.
Wellness program savings plan.
Health savings account options.
Retirement options with company match.
Paid time off and holiday pay.
Community involvement opportunities.
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EEO: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
#J-18808-Ljbffr
Denials Management Specialist-2
role at
Endeavor Health
Hourly Pay Range
$22.14 - $33.21 – The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights
Position: Denial Management Specialist
Location: Warrenville, IL
Full Time/Part Time: Full Time
Hours: Monday-Friday, 8am-4:30pm
A Brief Overview Reviews claim denials which pertain to medical necessity, pre-certification, authorization, and level of care requirements. This involves interaction with physician practices, providers, and payers.
What You Will Do
Review and resolve denied patient insurance claims.
Work closely with internal departments to determine accurate denial and process for appeal. Contact insurance companies, payers, or patients to gather information necessary for the appeal process.
Send appeals to insurance companies regarding denials by resubmitting corrected claims, submitting medical records, and writing appeal letters in a timely manner.
Provide process improvement recommendations to supervisor to decrease future denials.
Utilize software tools to identify denial trends and payer issues. Share findings with stakeholders.
Follow up on pending claim denials after the appeal has been processed by the insurance company.
Collaborate in the collection of data and send the monthly “Managed Care Denial Report” to appropriate department leaders including the Physician Coding Manager, Physician Billing Manager, and Director, VP of EEH Physician Practices and Vice President of EEH Revenue Cycle.
Maintain positive working relationships both externally and internally.
What You Will Need
Education: High school required.
Experience: 2 years previous patient billing or 2 years managed care experience.
Skills: Extensive computer knowledge and experience. Knowledge of standard billing guidelines, CPT/ICD9 coding, usual and customary (U & C) schedules.
Benefits
Career pathways to promote professional growth and development.
Various medical, dental, and vision options.
Tuition reimbursement.
Free parking at designated locations.
Wellness program savings plan.
Health savings account options.
Retirement options with company match.
Paid time off and holiday pay.
Community involvement opportunities.
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EEO: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
#J-18808-Ljbffr