Warbird Consulting Partners

  • Denial Management Specialists

    Location
    Multiple
    Pos. Category
    Finance - Consulting
    Experience (Years)
    3
    Job ID
    6598
  • Job Description

    Warbird Consulting Partners is seeking qualified Denial Management Specialists for future assignments. While we may not have an immediate position open for you, we regularly need consultants in an On Demand basis for our clients. Warbird will keep your resume on file and will contact you if your qualifications match the requirements for specific assignments. We engage talent and expertise across all of our practice areas and assemble experienced teams to solve a wide range of complex, pressing accounting and finance issues. Our consultants typically have 15-25 years plus of industry experience and know firsthand the daily challenges our clients encounter. We fit our consultants’ skills to the needs of our clients to ensure a successful experience for all. If you’re ready to take on the challenge, then let us help you advance your career in consulting!

     

       

    Responsibilities include but not limited to:

    • Analyze, resolve, monitor and report denials to the Revenue Cycle Manager as appropriate
    • Identify root cause of issues and concerns and determine a resolution
    • Research insurance billing and adjustment identification to ensure proper account resolution
    • Review and interpret Contractual Terms for Managed Care, Commercial, Medicare, Medicaid
    • Follow-up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner
    • Access systems to determine insurance eligibility and filing status in order to prepare claims for receivables
    • Request relevant documents from hospitals to perform insurance billing
    • Accurately track payments and payment verifications
    • File letters of appeal on claims denied by various insurance carriers
    • Perform extensive telephone contact to the insurance companies to conclude payment on the denied claims.

    Job Requirements

    • High School Diploma, GED or equivalent
    • Minimum 3 years’ experience as an Account Representative in a hospital setting
    • Minimum 1 year experience with clinical and technical claims denial management – Epic
    • Experience with hospital Payor contracts
    • Demonstrated understanding of medical terminology
    • Experience with commercial and government payors
    • Knowledge of Method II Billing for Critical Access Hospitals
    • Microsoft Word and Excel experience preferred. Extensive knowledge of Medicare and Medicaid regulations

     

    Warbird is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, religion, LGBT or other legally protected status. E-Verify - Warbird participates in the Electronic Employment Eligibility Verification Program. INDS

     

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