Denial Management Specialist in Arlington, VA at The GW Medical Faculty Associates.

Date Posted: 7/20/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    3811 Fairfax Drive
    Arlington, VA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    7/20/2020

Job Description

Position Summary:
Responsible for monitoring denials, appeals, and resolutions from participating insurance carriers and working proactively to collect from insurance carriers. This position will also service as a liaison between the Business Office and Physician Practices to provide feedback regarding findings and education to prevent future denials.

Education: High School graduate or equivalent required.

Experience:  A minimum of 3 years experience as a patient account representative, or an equivalent combination of experience and education, is necessary.  Familiarity with computer terminal and current office equipment is necessary.
Training or experience with coding and payer regulations is necessary.  Demonstrated understanding of medical terminology required.  Knowledge of CPT, HCPCS, and ICD-10 coding required.  Knowledge of medical billing and collection practices.  Understands Medicare and Medical Assistance regulations as they apply to job functions.  Knowledge working with electronic health records (HER/EMR) or healthcare related computer systems.  Excellent written and verbal skills are required as well as outstanding interpersonal skills.  Practices efficient methods for getting work done; strong ability to prioritize workload.  Organized; sets priorities; meets deadlines.  Ability to work independently