Job Description
We are looking for a Denials Patient Account Rep in the Torrance, CA area. This person will be responsible for reviewing denied claims and carrying out the appeals process. He/She will work to maintain third-party relationships, including responding to inquiries, complaints, and other correspondence. Must be knowledgeable of state/federal laws that relate to contracts and to the appeals process. This person will assist with reports and provide ongoing support and maintenance to the Revenue Cycle process to maximize case flow and reduce denied claims.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
-Strong appeals writing experience, must know how to write the appeal from scratch
-Facility/hospital claims experience with major payors
-Commercial experience (comfortable with 3rd party)
-Must have 2 years of experience in denials management
-HS Diploma/GED
-Expertise in Exclusions
Nice to Have Skills & Experience
-Associates or Bachelor's degree
-Experience in Cerner
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.