Denial Specialist

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
The Denial Specialist is responsible in the timely and appropriate validation and follow up of denied claims. They thoroughly investigate denied claims and address them by assigning the appropriate resources with the denial management process.

Responsibilities:

• Main responsibility is to maximize electronic payment receipt and posting through EFT/ERA enrollment.
• Minimize insurance paper check and credit card payments through completion of EFT enrollments for insurance payers.
• Maximize payment posting automation through the completion of ERA enrollment for insurance payers.
• Redirect paper mail going to the incorrect remit addresses.
• Ensure insurance payers have the correct remittance address on file to send payments.
• Allow old bank accounts to be deactivated through the updating of bank account information with insurance companies.
• Verify all ERAs are being sent to the correct AR clearinghouse and update the clearinghouse information for any that are being sent to the wrong place.
• Send requested W-9 forms to insurance companies.

Other information:
Education Requirements:
* High School diploma or GED
Licensure/Certification Requirements:
* No licensure or certification required.
Professional Experience Requirements:
* Three (3) years of experience in a clerical, accounting or customer service setting or an equivalent combination of education, training and experience
Knowledge/Skills/and Abilities Requirements:

Preferred Qualifications:

• Intermediate Excel skills

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Cash Management

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $21.40 - $30.76 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.