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Electronic Denials Specialist

Remote: 
Full Remote
Contract: 
Work from: 
Tennessee (USA), United States

Offer summary

Qualifications:

Experience in handling electronic claims, Knowledge of EDI processes, Proficiency in billing systems, Analytical skills for identifying trends.

Key responsabilities:

  • Correct and resubmit claims
  • Direct rejected claims to other departments
  • Identify denial trends for reporting
  • Work directly with clearinghouse on errors
Ovation Healthcare logo
Ovation Healthcare Health Care SME https://ovationhc.com/
201 - 500 Employees
See more Ovation Healthcare offers

Job description

Welcome to Ovation Healthcare!

 

At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.

 

The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.

 

We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.

 

Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.

Summary

An Electronic Denial Specialist will handle all denials that are received electronically through our claims clearing house. The position requires the specialist to correct all errors that caused the claim to reject at the EDI level.

Duties & Responsibilities:

  • Correct/Resubmit claims in the clearinghouse portal and in the billing system.
  • Direct rejected claims to other departments for resolution if warranted.
  • Identify denial trends and report to lead for review to assist in preventing future denials.
  • Open cases and work directly with the clearinghouse when claim rejections are being received in error.

Required profile

Experience

Industry :
Health Care
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Teamwork
  • Problem Solving

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