ASC Billing & Denials Management Specialist

It is the mission of Graham Health System to provide compassionate, quality health services, in a responsible and charitable manner, to the people and communities we serve. We are the community’s choice for an exceptional healthcare experience. Graham Health System is seeking a great applicant to join our team. Graham Health System offers a great team atmosphere with multiple benefits. Our goal is to provide the very best in healthcare, state-of-the-art equipment, modern facilities, and a caring, compassionate staff, all close to home. We offer a great team atmosphere with a competitive wage and benefit package for our dedicated employees. Opportunely, we are always in search of great applicants to join our team.

This position is responsible for ensuring all initial and subsequent billing of ambulatory surgery center patient accounts are accurately processed to the appropriate payors. The Billing and Denials Specialist will apply problem solving skills to independently rectify all pre and post service issues to accurately submit claims for payment and carry out the appeal process for denied claims. The specialist will also work with third-party payers by responding to inquiries, escalating issues, and other correspondence. This position reports to the Hospital Business Office Director.

Position Qualifications

Bachelor’s degree preferred with a focus in healthcare/business management/accounting OR Associate’s degree with three or more years of patient financial services experiences preferred.

Minimum two years’ experience in healthcare billing, collection, payment processing, or denials management preferred.

Knowledge of medical coding.

Demonstrated knowledge of Medicare and Medicare denials and appeals, third-party contracts, federal and state regulations relating to denials and appeals, and decision support criteria products.

Demonstrated knowledge of hospital billing and reimbursement.

We strongly encourage you to include an updated resume when submitting your application.

Benefits of working at GHS:

Cost of Living Adjustment every July

Financial Assistance and Loan Forgiveness may be available

Daycare Assistance

The pay grade assigned to this position is 2500; the link provided shows the pay range. Compensation InformationAll wages are determined by experience and skills; wage information will be discussed further upon interview selection.

The position status type is full-time. Benefits associated with the employment status can be found in the link provided. Benefit Package.