Welia Health
Mora, MN, USA
Department: Business Office
Reports To: Business Office Manager & Billing/Coding Supervisor
SUMMARY
The Denial Specialist is responsible for monitoring insurance denials and adjustments and answering billing questions for staff and patients.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Monitors denials and adjustments work queues on a daily basis and takes appropriate actions.
Reviews follow-up patient account work queue, to ensure claims are resolved prior to timely filing.
Works with claims specialist and payers to identify proper methods of resolving denial codes.
Tracks trends for denials to facilitate process improvements and system changes.
Collaborates with other departments to resolve claim issues.
Resolves open accounts related to third party payers recouping their prior payments.
Resolve accounts with a credit balance as of a result of more...
