Denial Management Specialist

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🔥 0 minutes ago

❄️ Minnesota – Remote

❄️ Minnesota – Remote

💵 $18 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Infinite Health Collaborative

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

👥 B2C

🤝 B2B

🧘 Wellness

B2C • B2B • Wellness

Infinite Health Collaborative is a collaborative network of independently owned and physician-led local medical practices that unites multiple specialties under a shared framework to support growth and sustainability while preserving physician autonomy and patient choice. The organization operates divisions across cardiology, endocrinology, family medicine, ophthalmology, orthopedics, pediatrics, plastic surgery, vascular & interventional radiology, and women’s health, and provides patient-facing services like a patient portal, online bill pay, and pelvic health therapy. i-Health focuses on maintaining independent, patient-first care through shared principles of quality, value-based care, and operational support for member practices.

📋 Description

• Ensure professional communication with patients, clinic personnel, and outside vendors over the phone, via email or other written documentation and respond to all inquiries • Maintain a working knowledge of health care plan requirements and health plan networks • Verify and document insurance information as defined by current business practices • Accurately post all payments received from patients, attorney offices and/or insurance companies • Review Explanation of Benefits (EOB), research denials, rejections and/or excessive reductions • Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes • Prepare, submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy • Make outbound phone calls to patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy • Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy • Review and work any credit balances to determine if patient and/or insurance company refund is applicable

🎯 Requirements

• High School diploma/GED or equivalent • Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferred

🏖️ Benefits

• Employees working 30+ hours per week (60 hours per pay period) are eligible for our Medical (w/Maternity Bundle), Dental & Vision plans • Tuition Reimbursement • 401(k) with Profit Sharing • Employee Assistance Program • Lifetime Fitness Subsidy • Car Rental discounts • Home, Auto, & Pet insurance savings programs & more