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REVO HEALTH LLC Denial Management Specialist Revo in OSCEOLA, Wisconsin

JOB REQUIREMENTS: Description The Denial Management Specialist is responsible for efficiently working accounts receivable for the organization. This is a full-time position working remotely M-F from 8:00 am - 4:30 pm. At least two years of previous billing or revenue cycle experience required. Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions. We have a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts and more. Essential Functions: Ensure professional communication with patients, clinic personnel, and outside vendors over the phone, via email or other written documentation and respond to all inquiries Maintain a working knowledge of health care plan requirements and health plan networks Verify and document insurance information as defined by current business practices Accurately post all payments received from patients, attorney offices and/or insurance companies Review Explanation of Benefits (EOB), research denials, rejections and/or excessive reductions Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes Prepare, submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy Make outbound phone calls to patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy Review and work any credit balances to determine if patient and/or insurance company refund is applicable Any and all other duties as assigned Education and Experience Requirements: High School diploma/GED or equivalent Previous experience in a healthcare facility in relation to accounts receivable or billing practices Essential Requirements: Ability to: Comply with company policies, procedures, practices and business ethics guidelines. Complete job required training. Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.) Demonstrate prompt and reliable attendance Work in the office during business hours Travel independently throughout the office (which may include movement from floor to floor); frequent bending, lifting, standing, stooping or sitting for long periods of time may be required Work at an efficient and productive... For full info follow application link. Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/3DD78271CD8D48B3

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