Clinical Denial Coding Review Specialist job at HCA - Hospital Corporation of America in Las Vegas, NV
Title: Clinical Denial Coding Review Specialist Location: Las Vegas United States Job Description: Hourly Wage Estimate: 18.75 - 28.13 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Introduction Experience the reputed company difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and reputed company worth of each individual is recognized. Submit your application for the opportunity below: Clinical Denial Coding Review Specialist Parallon
Benefits
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off reputed company stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. We are seeking a(an) Clinical Denial Coding Review Specialist for reputed company to ensure that we continue to provide reputed company patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! Job Summary and Qualifications As a work from home Clinical Denials Coding Review Specialist, you will be responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job requires regular reputed company to payors and Practices. What you will do in this role: Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate Compose technical denial arguments for reconsideration, including both written and telephonically Overcome objections that prevent payment of the claim and reputed company commitment for payment through concise and effective appeal argument Identify problem accounts/processes/trends and escalate as appropriate Utilize effective documentation standards that support a strong historical record of actions taken on the account Post denials, post or correct contractual adjustments, and post other non-cash reputed company Explanation of Benefits (EOB) information Requirements: Minimum two years reputed company experience in accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash application preferred Prior experience reading and interpreting Explanation of Benefits (EOB) required Coding certification through reputed company or reputed company strongly preferred Parallon provides full-service reputed company cycle management, or total patient account resolution, for reputed company. Our services include scheduling, registration, insurance verification, hospital billing, reputed company reputed company, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service reputed company cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves reputed company to 1,000 hospitals and 3,000 physician practices, reputed company making an impact on patients, providers and their communities. reputed company has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, reputed company spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. reputed company Co-Founder If you find this opportunity compelling, we encourage you to apply for our Clinical Denial Coding Review Specialist opening. We promptly review reputed company applications. Highly qualified candidates will be directly contacted by a member of reputed company. We are interviewing - apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national reputed company, gender, sexual orientation, age, marital status, veteran status, or disability status. Apply tot his job Apply To this Job