Front End Rejection Specialist

Description

Position: Front End Rejection Specialist

Department: Revenue Cycle-9002

FLSA Status: Full Time; Exempt

Reports To: Billing Office Manager

JOB DESCRIPTION – 

JOB SUMMARY:

A nonexempt position responsible for the proper and timely processing of claims and payments to providers. 

Supervisory Responsibilities:

None

Duties/Responsibilities:

· Resolves front end payer rejections. 

· Resolves front end clearinghouse rejections.

· Resolves front end billing system edits. 

· Communicates payer trends or issues to management.

Required Skills/Abilities:

· Education: High school diploma. 

· Experience: 1 - 2 years health care experience

· Familiarity with CPT and ICD10 

· Knowledge of health care insurance claim practices and compliance. 

· Knowledge of computer systems, programs, and applications. 

· Knowledge of medical terminology. 

· Skills:

· Skill in researching and reporting claim information. 

· Skill in trouble-shooting claim insurance problems. 

· Skill in written and verbal communication and customer relations. 

· Abilities:

· Ability to work effectively with physicians, other medical staff, and external agencies. 

· Ability to identify and analyze claim problems. 

OTHER KEY SKILLS:

· Team player - possess a positive attitude and demonstrates honesty and integrity in all endeavors.

· Ability to understand, apply and analyze financial data.

· Strong work ethic with the ability to self-start and work independently or as part of a diverse team.

· Detail oriented and organized with the ability to easily identify areas that require improvement.