EHPB Denial Management Specialist

Investigates health plan denials to determine appropriate action and provide resolution. Corrects claims based on denials, complaints and audits and rebills using payor approved process.

Requirements

• High School graduate or equivalent
• 1-year previous experience in professional billing
• Knowledge and experience in working with health care insurers' and their reimbursement systems, especially Medicare, Medicaid, Workers Compensation, Motor Vehicle and contract payers
• A good understanding of CPT, Modifiers, HCPC, ICD-10 codes and medical terminologies
• Demonstrated problem solving ability
• Ten-key by touch

Benefits

• Medical, vision and dental insurance
• On-demand virtual health care
• Health Savings Account
• Flexible Spending Account
• Life and disability insurance
• Retirement plans (457(b) and 401(a) with employer contribution)
• Tuition assistance for undergraduate and graduate degrees
• Federal Public Service Loan Forgiveness program
• Paid Time Off/Vacation
• Extended Illness Bank/Sick Leave
• Paid holidays
• Voluntary hospital indemnity insurance
• Voluntary identity theft protection
• Voluntary legal insurance
• Pay in lieu of benefits premium program
• Free parking
• Commuter benefits