I am seeking a Medical Claims Denial/Appeals Specialist to join our team in Akron!

MUST BE EXPERIENCED.

This position is responsible for reviewing and correcting coding errors, payment posting and working all claim denials.

This position is NOT a remote position so you will need to be able to work M-F in the office.

NEPHROLOGY experience is preferred.

This is NOT a position in training. You must already have extensive experience to be eligible for this position.

Duties and Responsibilities:

· Reviews and corrects coding errors.

· Conducts patient follow-up calls as well as calls to insurance companies to get claims paid.

· Performs financial audits on all billable accounts.

· Must be able to submit claims on Medicare and Medicaid websites.

· Submit appeals and reconsiderations online or call Insurance Platforms is a MUST.

· Maintains accurate records of patient financial information in accordance with HIPAA·
  regulations.

· A good working knowledge of the most common insurance plans.

· Enforces compliance with all applicable Federal, State, and Local laws and company policies.

· Performs other related duties as assigned by Management.

Requirements:

· Claims Denial Specialist experience minimum of two years.

· Minimum of a High School Diploma or GED required; college degree preferred but not
  required.

· Minimum of Two year's experience in medical billing, payment posting, and claim denials will
  be required.