Denial Analyst jobs in United States
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Acacia Network · 1 month ago

Denial Analyst

Acacia Network is a leading human services organization in New York City committed to improving the quality of life for underserved communities. The Denial Analyst will be responsible for timely billing and accounts receivable functions, including claims filing and patient billing, while closely monitoring patient/client accounts.

Assisted LivingEducationHealth CareNon ProfitPrimary and Urgent Care

Responsibilities

Responsibilities include third-party insurance billing and review and processing of payments
Knowledge of electronic 835 & 837 processes
Review of trial balances and adjustment of accounts after payment
Assist with loading encounters if needed
Maintain accurate records of billing claim submission
Updating patient’s demographic and generating Billing Reports
Check patient payments
Reviewing EOBs
Claim denial reconciliation
Other duties and responsibilities assigned by the Director

Qualification

Medical billing experienceInsurance benefitsOASAS billing rulesNextgen proficiencyExcel proficiencyCultural sensitivityInterpersonal skillsOrganizational skillsTeam-oriented

Required

High school diploma or GED required
Minimum of 2 years' experience in medical billing
Demonstrate knowledge of medical billing principles and practices
Understanding of Insurance benefits
Knowledge of OASAS Article 32, Article 28 & 31 billing rules & compliance
Excellent computer skills including the Microsoft Windows computer environment, Microsoft Word, Excel, PowerPoint, and electronic communications tools: internet and email
Demonstrate use of Nextgen, Epaces and various managed care web portals
Must be team-oriented and possess a positive attitude with a willingness to be flexible and helpful
Must be able to multitask with strong organizational skills
Excellent interpersonal skills and able to communicate both verbally and in written form
Commitment to cultural diversity and sensitivity
Ability to maintain a professional demeanor under pressure and operate with a keen sense of urgency and commitment to quality

Benefits

Medical, dental, and vision coverage
Generous paid time off
Vacation days
Paid holidays

Company

Acacia Network

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Acacia Network offers primary care, workforce development, behavioral health, homeless shelters, food distribution and senior services.

Funding

Current Stage
Late Stage

Leadership Team

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Lymaris Albors
Chief Executive Officer
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David Collymore
Chief Medical Officer & Senior Vice President of Clinical Affairs
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Company data provided by crunchbase