Denial Management Clerk

Duties And Responsibilities

• Manually enter new cases referred from clients into database as needed
• Update database with information gathered from correspondence
• Set follow-up reminders in Outlook
• Review daily reports for updates and due dates
• Send updates on document requests received throughout the day
• Send documentation to insurance carriers via portals, email, mail or fax
• Work within gAIge to update daily tasks assigned on work queue
• Login into all hospital applications and insurance carrier portals every two weeks
• Submit appeals, correspondence, and medical records via carrier portals
• Scan and label correspondence received daily via mail, email, or fax
• Navigate hospital applications to obtain balances, charges, and UB documents
• Download reports from portals for updates
• Absorb the outgoing mail process
• Scan documents into database
• Absorb assistance with patient inquiries regarding account statuses

Qualifications

• High School Diploma or equivalent
• Must be courteous and possess a strong work ethic, with the ability to work in a fast-paced environment
• Proficient in Microsoft Office applications
• Strong organization and time-management skills
• Ability to learn proprietary databases and systems, gAIge, Epic, Eagle, Epremis, Medi-Tech
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required