Manage multiple denial-related projects for the current process used at LVMC and identify opportunities for workflow improvement.
Collaborate with the Director and Manager of Revenue Cycle to set goals, measure effectiveness and productivity, and identify the need for updated policies and procedures.
Provide support to Revenue Cycle operations to help ensure productivity and quality goals are met.
Gather and assemble documentation for monthly balancing, reporting, and research.
Work with insurance denial data, special projects, and software implementation support in a fast-paced environment.
Requirements & Qualifications
- High school diploma or equivalent.
- 2+ years of experience working with commercial, Medicare, Medi-Cal, and HMO insurance procedures preferred.
- Working knowledge of full-cycle billing and collections.
- Knowledge of appeals and denials processes.
- Understanding of insurance billing and payment processing, including EOBs, HCPCS, ICD-10, CPT, and Medi-Cal crosswalk coding.
- Previous office or hospital experience preferred.
- Strong organizational, communication, interpersonal, and problem-solving skills.
- Ability to work independently and as part of a team.
- Ability to manage multiple assignments, follow through accurately, and work well under stress or tight deadlines.
Location
California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago