To Apply for this Job Click Here

A Norwood Partner, based in Houston, TX is seeking a Remote Denials Specialist to assist with a growing number of company-wide backlogged denials. 

UR Specialist

Responsibilities

• Reviews and completes continuous daily work queue volume of denials.
• Most, if not all denials will be from post-acute care facilities. (mostly behavioral health patients with medical needs)
• Analyzes work queues and other system report and identifies denial/non-payment trends
• Maintains open communication with third party payor representatives to resolve claim issues.
• Identifies, reviews, and interprets third party denials
• Initiates corrected claims and appeals according to payer guidelines.
• Keeps abreast of all government, managed care and third-party hospital coding, billing and reimbursement rules, regulations, and guidelines.
• Promotes Teamwork and maintains a positive atmosphere when communicating, both oral and written.
• Completes all assignments per the turnaround standards. Reports unfinished assignments to the Supervisor.
• Meets productivity standards or consistently exceeds productivity standards.

Job Qualifications

• RN preferred
• Must have a clear and active Texas or compact license.
• Good writing and analytical skills are a must.
• Experience writing denials for hospitals in sub-acute or short-term care settings
• 2 years of Care Management and/or Utilization Management Experience
• 3years clinical experience
• Knowledge of third-party healthcare insurance plans, denials, and appeal procedures Basic computer skills.
• Familiarity with hospital applications and basic Microsoft Office and Windows applications.
• Excellent communication skills required.
• Good knowledge of automated billing systems.

****This job will be 100% remote.  All candidates must have a dedicated workspace with a lock on the door to comply with HIPAA standards

• All candidates must be able to provide their own hardware, (Laptop or desktop). 
• Software access will be provided before or during orientation.

Remote RN Denials Specialist
Maximum pay rate: $65 an hour
Bill Rate: $105 (finalizing approval)

A Norwood Partner, based in Houston, TX is seeking a Remote Denials Specialist to assist with a growing number of company-wide backlogged denials. 

The Denials Specialist (remote) will review and rework of all types of denials accessing Meditech software.

Responsibilities

• Reviews and completes continuous daily work queue volume of denials.
• Most, if not all denials will be from post-acute care facilities. (mostly behavioral health patients with medical needs)
• Analyzes work queues and other system report and identifies denial/non-payment trends
• Maintains open communication with third party payor representatives to resolve claim issues.
• Identifies, reviews, and interprets third party denials
• Initiates corrected claims and appeals according to payer guidelines.
• Keeps abreast of all government, managed care and third-party hospital coding, billing and reimbursement rules, regulations, and guidelines.
• Promotes Teamwork and maintains a positive atmosphere when communicating, both oral and written.
• Completes all assignments per the turnaround standards. Reports unfinished assignments to the Supervisor.
• Meets productivity standards or consistently exceeds productivity standards.

Job Qualifications

• RN preferred
• Must have a clear and active Texas or compact license.
• Good writing and analytical skills are a must.
• Experience writing denials for hospitals in sub-acute or short-term care settings
• 2 years of Care Management and/or Utilization Management Experience
• 3years clinical experience
• Knowledge of third-party healthcare insurance plans, denials, and appeal procedures Basic computer skills.
• Familiarity with hospital applications and basic Microsoft Office and Windows applications.
• Excellent communication skills required.
• Good knowledge of automated billing systems.

****This job will be 100% remote.  All candidates must have a dedicated workspace with a lock on the door to comply with HIPAA standards

• All candidates must be able to provide their own hardware, (Laptop or desktop). 
• Software access will be provided before or during orientation.

To Apply for this Job Click Here