What are the responsibilities and job description for the DENIAL SPECIALIST position at CULLMAN REGIONAL?
Job Details
Description
Assists with managing and tracking denials, audit appeals and responses
Collects and performs data analysis of denial and audit activity
Works with PFS and assist other dept on medical necessity issues
Assist with identification and recovery of underpayments
Assist with enrollment, re-enrollment and validation of various payor programs
Demonstrates and encourages team behavior and exceptional patient/guest experiences.
Upholds and promotes patient safety and quality.
Qualifications
Associates in Business or other related field
Minimum 6 months recent experience with patient accounting, case management, internal audit and/or process improvement
Must be familiar with Microsoft Office suite of products. General knowledge of accessing website and portals is useful.