Responsible for reviewing denied claims and carrying out the appeals process for Ingalls Memorial Hospital. Works to maintain third-party payer relationships, including responding to inquiries, complaints, and other correspondence, and possibly setting up arbitration between parties. Maintains and monitors integrity of the claim development and submission process. Executes the denial appeals process in a timely manner.
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USD/year
The Revenue Specialist β Veteranβs Administration acts as the liaison between key client contacts and the VA. This position handles patient health information (PHI) and maintains extreme privacy and security of confidential information. Responsibilities include analyzing VA claim payments, acquiring medical records, conducting follow-up with payers, and preparing initial bill packets or appeal letters.