Denial Management Specialist

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Files written letters of appeal on claims denied by the insurance carriers. Performs extensive telephone contact with the insurance companies to conclude payment on the denied claims. Utilizes Northside's contract summaries to verify balances due on disputed claims.

KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION REQUIRED

1. B.S. degree, or equivalent college courses, in Health Science, Bookkeeping or Business, plus 3 years insurance collections/ AR receivables experience OR Associate's degree, plus 4 years experience in healthcare receivables or related field OR 5 years experience in healthcare receivables or related field
2. Knowledge of healthcare receivables and collections, including denial and appeal processes.
3. Good verbal and written communication skills.
4. Proficient calculator experience.

KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION PREFERRED

1. CPAR certification.
2. Knowledge and experience with Excel.
3. Experience with STAR, McKesson products.