Responsible for analyzing, resolving, monitoring, and reporting non-clinical denials. Supports denial follow-up and resolution through work queues, provides denial information to internal departments, and helps implement remediation plans to address root causes and reduce or eliminate denials.
Works in full compliance with departmental, institutional, and regulatory policies and procedures. Supports St. Elizabeth Healthcare’s mission, vision, values, and strategies by promoting respectful, compassionate, and professional service.
Requirements & Qualifications
Education and Experience
- Associate degree; or
- High school diploma plus Certified Revenue Cycle Representative and 3 years of related experience
Knowledge and Skills
- Proficiency in Microsoft Office applications and other required systems
- Knowledge of organizational policies and procedures
- Knowledge of insurance regulations, payment guidelines, and payer communication practices
- Extensive knowledge of Medicare and Medicaid regulations
- Knowledge of third-party claim filing, contract reimbursement, and other insurance guidelines
- Strong ability to research accounts, complete follow-up, and support appeals
- Ability to maintain compliance with HIPAA and applicable federal, state, and local regulations
Benefits & Perks
Benefits and Perks
- Competitive pay and comprehensive health coverage within the first 30 days
- Generous paid time off and flexible work schedules
- Retirement savings with employer match
- Tuition reimbursement and professional development opportunities
- Wellness, mental health, and recognition programs
- Career advancement through mentorship and internal mobility
Location
Kentucky, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago