Front End Rejection Specialist

EngageMED Inc.


Date: 1 day 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 Description –

JOB SUMMARY:

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.

Required Skills/Abilities

  • 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.

Other Key Skills

  • 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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