Position Summary. . The denials management specialist is responsible for timely and accurate follow-up and appeal of denials/rejections received from third-party payers. The specialist will work independently while managing their assigned work to ensure payer appeal/filing deadlines are met and achieve optimal payment for services rendered. Essential Functions and Responsibilities. Monitors denial work queues and reports in accordance with assign...
About Us. McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned med...
Overview. As our Denials Management Specialist at CHI St. Vincent Heart Clinic of Arkansas, you will help our revenue cycle team recover maximum reimbursement so they can maintain the financial health of the clinic. Every day you will investigate and appeal denied claims. You will be expected to perform thorough claim analysis, communicate effectively with payers, and implement denial prevention strategies. To be successful in this role, you must...
