Review all denials, obtain additional information as needed and work with staff to file appeals necessary to resolve payor denials of reimbursement on claims. Maintain and work with others to ensure that the indigent logs are correct as needed by the state. Responsible for maintaining the communications system within the hospital. Responsbile for inputting all RAC requests and related RAC inquires in Compliance 360. Responsible for coordinating with the Medicare Collector and the Business Office Director to accurately report all RAC activity. Responsible for reporting on denial log and preparing denial reports for compliance and UM committe meetings
High school diploma or GED is required. Undergraduate degree from an accredited college is preferred.
Desirable characteristics include two years of business office experience or related experience with insurance denials. One to two years of supervisory experience. Must be able to interact with all levels of hospital administration, physicians and other healthcare team members.
SC-Marion (Florence Region)
Marion Regional Healthcare System
Forecasted paid hours per shift
Forecasted hours per pay week
Community Health Systems
- 2 years ago - save job