The representative is responsible for researching, following up on, and resolving denials and underpayments from third-party payors. They must ensure compliance with payor contracts and process necessary financial adjustments.
Overview
Completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor contracts and processing any adjustments as required. This representative reports to the Manager/Supervisor of Denials Management.
Responsibilities
Completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor contracts and processing any adjustments as required. This representative reports to the Manager/Supervisor of Denials Management.
Qualifications
Education
- H.S. Diploma or General Education Degree (GED) Required
Work Experience
- 2 years of prior related healthcare Revenue Cycle experience, preferably within, A/R Follow Up or denials/underpayments Required
- Prior experience using Epic Preferred
Licenses and Certifications
Business Unit : Company Name
Piedmont Healthcare Corporate