Denials Resolution Specialist - Clinic in Munster, IN at Community Healthcare System

Date Posted: 10/8/2021

Job Snapshot

Job Description

Job ID: 34558

Category: Billing & Health Information

Facility: Community Care Network, Inc. (Physician Practice)

Schedule: Full-time

Location: Munster, IN

Position: Denials Resolution Specialist
Location: St. John Outpatient Center, St. John, IN 46373
Job Summary:
Under general supervision, interacts daily with patients, insurance carriers, and coding staff members to ensure payor denials are resolved in a timely manner.  Works on denial work queues and performs outstanding denial management by documentation review, coding review and claim appeals.  According to industry standards, performs error correction tasks using ICD-10-CM and CPT. Possesses a thorough knowledge of the coding process, coding resource material, coding rules and guidelines and applicable classification systems. 
Education/ Experience Requirements:

  • High School graduate (or GED equivalent) required. 
  • Completion of college course work in health information certificate or degree program preferred.
  • 1-2 years professional billing/coding experience.  Physician practice setting preferred.
  • Evaluation and Management experience in a physician practice setting preferred.
  • Maintain active CPC, CCS, or RHIT certification through AHIMA or AAPC preferred
  • Required to demonstrate billing/coding competency via standard department testing.
  • Must be able to utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system.
  • Needs to be familiar with operating general office equipment, including but not limited to: scanner, fax machine, photocopy machine, printer and adding machine.
  • Must demonstrate effective communication & problem solving skills

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