FBpixel Job Opportunity | Denial Management Specialist I
Denial Health Check

Job Opportunities

Now Hiring:

Denial Management Specialist I

Nemadji is looking for a skilled individual with knowledge in the healthcare industry. This is a full-time, hourly paid position with excellent benefits.

Do you possess a strong knowledge in clinical and technical claims denial management, healthcare billing/collections, medical record contents and have a strong knowledge of coding and coverage determinations? If so, and you enjoy working in a fun yet challenging environment, then inquire to join our team dedicated to making a difference for healthcare facilities and the patients they serve!

This posting closes on January 23, 2022.

 

Send resumes and application requests to:

Nemadji
Attn: HR
PO Box 100
Bruno, MN 55712
320.838.3838
hr@nemadji.org
EEO/AAP Employer

Job Responsibilities

  • Review, research, appeal and resolve denials for all payers and service areas and all levels/types of denials (including medical necessity, coding, bundling, concurrent care, frequency, limited coverage etc.)
  • Provide clinical arguments using available medical records to justify, appeal and dispute payer denials
  • Identify root causes of denials and assist in developing monthly case studies
  • Remain updated and current on all relevant regulatory and accreditation coding, billing and reporting requirements

Required Qualifications and Skills

  • High School Diploma
  • 2 Year of Experience Working Denials

Preferred Skills

  • Professional Certification, such as CRCS-1, CPAR or equivalent
  • Strong knowledge of clinical and technical claims in denial management, healthcare billing and collections, medical record contents and knowledge of coding and coverage determinations
  • Ability to plan, prioritize and resolve complex work problems
  • Ability to work independently and with a team in a technology dependent, fast paced and high-volume work environment with an emphasis on accuracy and timeliness