Front End Rejection Specialist
EngageMED Inc.
Date: 7 hours ago
City: North Little Rock, AR
Contract type: Full time
Description
Position: Front End Rejection Specialist
Department: Revenue Cycle-9002
FLSA Status: Full Time; Exempt
Reports To: Billing Office Manager
Job Summary
JOB DESCRIPTION –
A nonexempt position responsible for the proper and timely processing of claims and payments to providers.
Supervisory Responsibilities
None
Duties/Responsibilities
Position: Front End Rejection Specialist
Department: Revenue Cycle-9002
FLSA Status: Full Time; Exempt
Reports To: Billing Office Manager
Job Summary
JOB DESCRIPTION –
A nonexempt position responsible for the proper and timely processing of claims and payments to providers.
Supervisory Responsibilities
None
Duties/Responsibilities
- Resolves front end payer rejections.
- Resolves front end clearinghouse rejections.
- Resolves front end billing system edits.
- Communicates payer trends or issues to management.
- Education: High school diploma.
- Experience: 1 - 2 years health care experience
- Familiarity with CPT and ICD10
- Knowledge of health care insurance claim practices and compliance.
- Knowledge of computer systems, programs, and applications.
- Knowledge of medical terminology.
- Skills:
- Skill in researching and reporting claim information.
- Skill in trouble-shooting claim insurance problems.
- Skill in written and verbal communication and customer relations.
- Abilities:
- Ability to work effectively with physicians, other medical staff, and external agencies.
- Ability to identify and analyze claim problems.
- Team player - possess a positive attitude and demonstrates honesty and integrity in all endeavors.
- Ability to understand, apply and analyze financial data.
- Strong work ethic with the ability to self-start and work independently or as part of a diverse team.
- Detail oriented and organized with the ability to easily identify areas that require improvement.
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