Collections & Denials Management Representative

Park Ridge Child Care Center Inc

Canton, NY, USA
Base: $20.66 - $29.99; bonus/equity: not specified...
On-site
Submit and track insurance claims
Resolve denials and billing edits
Prepare appeal letters
The Park Ridge Child Care Center Inc is seeking a Medical Billing and Denials Management Representative to oversee the billing process and manage claims for a healthcare organization. The role requires strong organizational and communication skills, with a focus on resolving denials and ensuring timely reimbursements

Job Summary

  • A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims, and ensuring timely reimbursement for healthcare services.
  • This role plays a critical part in the revenue cycle management of the healthcare organization by identifying trends in denials and taking corrective actions.
  • The position involves conducting detailed reviews of denied or underpaid claims, preparing appeal letters, gathering supporting documentation, and collaborating across departments to ensure successful claim outcomes.

Matching Summary

Match Score: 75

The Park Ridge Child Care Center Inc is seeking a Medical Billing and Denials Management Representative to oversee the billing process and manage claims for a healthcare organization. The role requires strong organizational and communication skills, with a focus on resolving denials and ensuring timely reimbursements.

Salary

Base: $20.66 - $29.99; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Submit and track insurance claims
  • Resolve denials and billing edits
  • Prepare appeal letters
  • Respond to patient inquiries
  • Maintain HIPAA confidentiality

Nice-to-have

  • Strong time management skills
  • Excellent organization skills
  • Clear communication skills

Key Requirements

  • High school graduate or equivalent
  • Bachelor’s degree in healthcare or business administration
  • Minimum 1 year medical billing and denials experience
  • Certification in medical billing

Work Rights

Not specified

Tailored Resume

Cover Letter