denials representative
Insight Global, Torrance, CA, United States
Required Skills & Experience
-Strong appeals writing experience, must know how to write the appeal from scratch -Facility/hospital claims experience with major payors -Commercial experience (comfortable with 3rd party) -Must have 2 years of experience in denials management -HS Diploma/GED -Expertise in Exclusions
Job Description
We are looking for a Denials Patient Account Rep in the Torrance, CA area. This person will be responsible for reviewing denied claims and carrying out the appeals process. He/She will work to maintain third-party relationships, including responding to inquiries, complaints, and other correspondence. Must be knowledgeable of state/federal laws that relate to contracts and to the appeals process. This person will assist with reports and provide ongoing support and maintenance to the Revenue Cycle process to maximize case flow and reduce denied claims.
-Strong appeals writing experience, must know how to write the appeal from scratch -Facility/hospital claims experience with major payors -Commercial experience (comfortable with 3rd party) -Must have 2 years of experience in denials management -HS Diploma/GED -Expertise in Exclusions
Job Description
We are looking for a Denials Patient Account Rep in the Torrance, CA area. This person will be responsible for reviewing denied claims and carrying out the appeals process. He/She will work to maintain third-party relationships, including responding to inquiries, complaints, and other correspondence. Must be knowledgeable of state/federal laws that relate to contracts and to the appeals process. This person will assist with reports and provide ongoing support and maintenance to the Revenue Cycle process to maximize case flow and reduce denied claims.