Job Description
Job DescriptionDescription:
Position: Front End Rejection Specialist
Department: Revenue Cycle-9002
FLSA Status: Full Time; Exempt
Reports To: Billing Office Manager
JOB DESCRIPTION –
JOB SUMMARY:
A nonexempt position responsible for the proper and timely processing of claims and payments to providers.
Supervisory Responsibilities:
None
Duties/Responsibilities:
· Resolves front end payer rejections.
· Resolves front end clearinghouse rejections.
· Resolves front end billing system edits.
· Communicates payer trends or issues to management.
Required Skills/Abilities:
· Education: High school diploma.
· Experience: 1 - 2 years health care experience
· Familiarity with CPT and ICD10
· Knowledge of health care insurance claim practices and compliance.
· Knowledge of computer systems, programs, and applications.
· Knowledge of medical terminology.
· Skills:
· Skill in researching and reporting claim information.
· Skill in trouble-shooting claim insurance problems.
· Skill in written and verbal communication and customer relations.
· Abilities:
· Ability to work effectively with physicians, other medical staff, and external agencies.
· Ability to identify and analyze claim problems.
OTHER KEY SKILLS:
· Team player - possess a positive attitude and demonstrates honesty and integrity in all endeavors.
· Ability to understand, apply and analyze financial data.
· Strong work ethic with the ability to self-start and work independently or as part of a diverse team.
· Detail oriented and organized with the ability to easily identify areas that require improvement.
Requirements: