Denials Analyst Relevant Educational Qualifications Job2 months ago - Other categories - Johnstown - 100 views
LifePoint Health Business Services, located in Johnstown, PA, is a centralized revenue cycle service center supporting multiple hospitals in the LifePoint Health network. Services provided by LifePoint Health Business Services range from hospital billing to claims follow up and customer service.
This position allows the opportunity allows for immediate work from home status
Responsible for the review, research and resolution of denied claims.
Reviews accounts and take appropriate actions based on the type of denial and department procedure.
Follows the appropriate process flows depending on denial criteria: Claim Reprocessing (calling payers), Appeals and Claim Adjustments.
Forwards corrections encompassing patient demographics, updated insurance information and charge discrepancies to appropriate analysts or facilities.
Works in conjunction with inter departments and facilities to obtain all necessary data to aid in appeal process of denials (Coders, Clinical Appeal Nurses and Case Management)
High school diploma or equivalent Required
Two years of college Preferred
Associate’s degree Preferred
Minimum Required Work Experience
One (1) year healthcare revenue cycle
Basic proficiency in Microsoft Office applications
Requires critical thinking skills, problem solving, decisive judgment, ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Each day, LifePoint stands strong behind our commitment to make our communities healthier. We have always known that providing high-quality healthcare depends on our ability to find, keep, and empower creative and determined people who care. This has been a major component of our success in the past –and will be so in the future.