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Insurance Follow-up, Ambulatory Denials
Banner Health. Follow up with assigned payers regarding denials, including authorization and eligibility denials .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medical Insurance Accounts Receivable and Physician Fee for Service Billing, with strong capabilities in managing denials, appeals, and patient financial services. Proficient in Microsoft Excel and adept at communicating effectively with internal and external stakeholders.
Highest-signal resume keywords
Medical Insurance Accounts ReceivablePhysician Fee For Service BillingWriting Appeal LettersMicrosoft ExcelPatient Financial Services Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Accounts ReconciliationPayment ProcessingClaims ManagementDenial ResolutionFinancial Analysis
Soft Skills
Interpersonal CommunicationOral CommunicationWritten CommunicationTask ManagementIndependent Work
Tools & Technologies
Office SoftwareWord Processing SoftwareSpreadsheet SoftwareDatabase Software
Industry Keywords
Patient BillingCollection ActivitiesFinancial-Class IssuesContract DiscrepanciesAccounts Receivable Balances
About the role
Key responsibilities & impact- Follow up with assigned payers regarding denials, including authorization and eligibility denials
- Coordinate and facilitate patient billing and collection activities
- Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans
- Reconcile, balance, and pursue account balances, payments, and denials
- Research payments, denials, and accounts to identify short/overpayments, contract discrepancies, financial-class issues, and errors
- Make appeals and corrections as necessary
- Build working relationships with business units, hospital departments, and provider offices
- Identify payment issue trends and communicate solutions to internal and external customers
- Respond to incoming calls and make outbound calls to resolve billing, payment, and accounting issues
- Help the patient financial services team reduce accounts receivable balances and achieve collection goals
- Document information in systems, provide statistical data, prepare issue lists, and communicate accurately with payers
- Work independently under general supervision and report to a Supervisor or Manager
Requirements
What you’ll need- Minimum of 1 year experience in Medical Insurance AR and/or Physician Fee for Service Billing
- Minimum of 1 year experience writing appeal letters for payer/payor denials
- Intermediate to Advanced skill level in Microsoft Excel
- High school diploma/GED or equivalent working knowledge
- Knowledge of patient financial services, financial, collecting services or insurance industry processes
- Ability to manage multiple tasks simultaneously with minimal supervision
- Ability to work independently
- Strong interpersonal, oral, and written communication skills
- Strong knowledge of common office software, word processing, spreadsheet, and database software
- Must live in one of the listed states: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY
Benefits
Comp & perks- Great Place To Work® Certification™ workplace
- Stimulating and rewarding career opportunities
- Total rewards package