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SRMC - DEN MGMT SPEC - 111618

ROi Contractor Requirements (Non-Clinical)


Date:
11/16/2018
Req. Number:
SRMC - DEN MGMT SPEC - 111618
Location:
Mary Black
1700 Skylyn Dr
Spartanburg, SC 29307
Position Title:
Denials Management Specialist
Number of Openings:
6
Shift:
8-5 ( full time)
Assignment Start Date:
Before 01/01/2019
Assignment End Date:
3-6 months with strong intension to convert to perm
Expected Agency Bill Rate:
$22.35
Possible Right to Hire (Yes or No):
yes
Salary Range (If converted to Perm):
Based on internal equity and experience
14.90-15.00
Education:
High school diploma
Job Description:
See attachment
Daily Responsibilities:
Required Skills:
See attached JD.
Desired Skills:
Excel and Microsoft office suite.
Certifications or Licenses:
None
Overall Years of Experience for Position (please check one):
At least one year of experience.


Responsible for all pre-bill edits and claim scrubber edits for accuracy and compliance with all government and commercial carriers billing guidelines before releasing for submission to payers.
?Understands and adheres to state and federal regulations and system policies regarding compliance, integrity and ethical billing practices.
?Must possess a good working knowledge of the UB04 and CMS 1500claim form and the data elements/field data required
?Responsible to bill all services within a timely filing as defined by departmental goals and insurance guidelines.
?Must understand and comply with the rules regarding edits.
?Responsible for all billing related denials to identify trends to improve clean claim rates
?Responsible for multiple daily reporting of billing indicators through various reporting tools.
?Must be able to accurately complete review and resolve all combined billing requirements to ensure compliance.

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