Denials Management Specialist-HME

Denials Management Specialist-HME

Date Posted: September 4, 2020
Department: HME
Status: Full-Time
Hours: 80hrs; 8:30am to 5:00pm; M-F
Shift: 1st Shift

It is the mission of Graham Health System to provide compassionate, quality health services, in a responsible and charitable manner, to the people and communities we serve. We are the community’s choice for exceptional healthcare experience. Graham Health System is seeking a great applicant to join our team. Graham Health System offers a great team atmosphere with multiple benefits.

The denial management specialist is accountable for carrying out and documenting the appeals process for denied claims at Graham Home Medical Equipment. The specialist also works to maintain third-party payer relationships, a role that consists of responding to inquiries, complaints, and other correspondence.  Knowledge of state/federal laws that relate to contracts and to the appeal process is vital.

Bachelor’s degree preferred with a focus in healthcare/business management/accounting Associates degree with three or more years of patient financial services experience preferred. Minimum of two years’ experience in healthcare billing, collection, payment processing, or denials management required, denials management experience preferred.