Physical Therapist - Full Time
obmc
FULL TIME
Appeals Specialist - Patient Accounts - Full Time - Days
obmc· Business Office
About this role
Responsibilities
The Appeals Specialist will manage the organization’s third party payer appeals through the ability to analyze, research and successfully appeal third party claims within timely filing timelines. This position will develop payer and cross-functional hospital relationships to effectively appeal and obtain full contractual payment on claims. The Appeals Specialist will lead the organization’s denials management process and make recommendations for continuous improvement, including root cause analysis and implementation of processes to consistently reduce denials.
The Appeals Specialist will work closely with the Business Office Director and IT to build and refine the payer variance and denial reports to insure the accuracy and effectiveness of the reports. The Appeals Specialist will provide constructive feedback and suggestions to the Accounts Receivable, Patient Registration, Insurance Verification and Case Management teams in order to prevent claim denials.
Qualifications
MINIMUM EDUCATION
High School Graduate or GED Equivalent required; relevant experience in lieu of High School Diploma/GED education will be considered. Associate’s or Bachelor’s Degree in a Business related field highly preferred. Foreign Medical Graduates welcome.
MINIMUM WORK EXPERIENCE
Three to five years of job related experience.
REQUIRED LICENSES/CERTIFICATIONS
None.
REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES
Must be computer literate; possess good verbal and written communication skills, and excellent analytical skills.
ABOUT OAKBEND
OakBend Medical Center is an independent hospital providing exceptional and compassionate care to patients and the community since 1950. The OakBend family consists of outstanding team members caring for the community at three hospitals and many specialty centers. OakBend’s services and programs include its signature No Wait ER, an advanced trauma center, certified stroke program, hospital air ambulance services and a hospital-based skilled nursing facility. We remain committed to providing a rewarding environment to our team members, to providing necessary services to the community and to developing the best methods to care for our patients, ensuring a healthy future for generations.
Frequently Asked Questions
Is the salary disclosed for the Appeals Specialist - Patient Accounts - Full Time - Days position at obmc?
The salary for this Appeals Specialist - Patient Accounts - Full Time - Days role at obmc is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Appeals Specialist - Patient Accounts - Full Time - Days position at obmc located?
This Appeals Specialist - Patient Accounts - Full Time - Days role at obmc is based in Richmond, TX, US. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Appeals Specialist - Patient Accounts - Full Time - Days role at obmc full-time or part-time?
This is listed as a FULL TIME position. It is posted as a Appeals Specialist - Patient Accounts - Full Time - Days role in the Business Office department at obmc.
Which team or department does the Appeals Specialist - Patient Accounts - Full Time - Days at obmc belong to?
This Appeals Specialist - Patient Accounts - Full Time - Days position is part of the Business Office department at obmc. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Appeals Specialist - Patient Accounts - Full Time - Days position at obmc?
Click the "Apply Now" button on this page. You will be redirected to obmc's official application portal hosted on icims where you can submit your application directly.
When was the Appeals Specialist - Patient Accounts - Full Time - Days job at obmc posted?
This Appeals Specialist - Patient Accounts - Full Time - Days position at obmc was posted on Jun 11, 2024. Apply as soon as possible — early applications are often reviewed first.
Appeals Specialist - Patient Accounts - Full Time - Days
obmc
You'll be redirected to obmc's official application page on icims.