Denials Management Specialist

Description

This advanced-level position will focus on coordinating and managing denials, appeals and resolutions for payer claims. You will utilize prior knowledge of claims processing to assess the appropriate action to proactively ensure correct payment is received. You will develop training materials for Revenue Cycle team members and identify areas for improvement in department policies and procedures. This position will work independently under the Revenue Cycle Analyst. This role is key to securing reimbursement and minimizing organizational write offs. Hours for this position will be Monday through Friday, 8:00AM – 4:30PM. At this time we are only accepting Iowa resident applications.

PERKS: A place where you can excel in your area of expertise. Generous levels of time off, including 6 paid Holidays, allow our staff a work-life balance. Continual evaluation of compensation, health, dental and vision insurance to be competitive. Employer sponsored term life insurance for employees. Meet your retirement goals with our employer match 401k and profit sharing.

Do I want this job? You will be a resource for the Revenue Cycle team, registration staff and physicians that may have questions or concerns regarding medical claims, billing and payments. You have an understanding of the denials and appeals process of health care claims. You can keep healthcare claims organized and are confident providing coding and billing education. You enjoy working in spreadsheets and computer software and know the ins and outs of computer functions. You will work in a place that expects outstanding experiences; we do this by working hard to assume the best and being curious with all around us. You will be naturally curious, friendly and helpful. You are able to work the hours of this position which are 8AM-4:30PM, Monday through Friday.

Can I do this Job? You must be able to be on the phone or sit at a desk for extended periods of time that may seem unnatural. You must have a high school diploma or GED and four years of insurance experience OR a two year associates degree and two years of billing experience. A working professional knowledge of the principles and practices of patient accounts and administration is required. A technology savvy individual will thrive in this role. You are a highly organized, driven individual that enjoys puzzles. You have strong written and oral communication skills. A working professional knowledge of the principles and practices of billing or coding is preferred.

What does an outstanding Denials Coordinator look like? Prior experience in a medical office completing claims processing. Experience with managing denials for payer claims. Ability to work independently with minimal supervision. Open-minded to learn new skills and provide feedback and support to staff members.

What are we looking for?

Evidence Based Care Enthusiasts: We approach every day with a patient centered focus and are diligent about an outstanding care experience for all who come to DMOS.Emerging Leaders with a Servant Heart: We do everything with the highest level of purpose, preparation and focus for others. We know our best selves are delivered in action, not just words.People who want Continuous Learning: We strive to learn everyday through sincere curiosity; we look for ways to improve our patient care, ourselves and the community.Vision for the Future: We see a future of patient centered care that allows for minimal disruption to the patient, the provider and peers through outstanding surgical and ancillary services throughout the metro.

What is DMOS: With over 60 years of experience, our dedicated team has been committed to providing patients with the most comprehensive orthopaedic care available in central Iowa. As a surgeon owned, leading and trusted organization, we are devoted to providing world class care to our patients. DMOS Orthopaedic Center is actively improving the lives of our patients by providing the highest quality of care and we are seeking a professional medical professional to help us achieve more!

Who does well at DMOS: People who succeed at DMOS are positive, friendly, professional and data driven. We seek a can-do attitude with a proactive coaching and consulting skill set. This person knows how to communicate positively and professionally to patients, physicians, mid-levels, administrative professionals, and team members. If we are speaking about you, then you may be our ideal candidate. Thank you for considering joining our leading team of orthopaedic surgeons and discover how your talents can change lives.

Join our team of orthopaedic surgeons and discover how your talents will change lives helping our patients get back to living!

DMOS is a privately held medical facility. Candidates who receive a conditional offer of employment at DMOS will be required to complete a criminal background check, federal background checks, education verification, reference checks, and an initial TB test.

Please Note: DMOS values your privacy. DMOS will not ask a candidate for private personal information, such as social security number/date of birth, until after an offer is accepted. DMOS will not contact candidates through any other site outside of UKG or @DMOS email addresses. DMOS does not contact candidates through Indeed. Please do not respond to Indeed requests for DMOS. You may email HumanResources@DMOS.com for more questions.

Qualifications

Education

Required

H.S. GED or Diploma or better

Experience

Required

Denials and Appeals Management

Health Insurance Claims Processing

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)