Physical Therapy at St. Luke's · 22 hours ago
Denials Management Assistant
Allentown, PA
Part-time
Onsite
Mid Level
3+ years expSt. Luke's is dedicated to providing excellent care and improving access to healthcare services. The Denials Management Assistant is responsible for clerical support in the Denials Management Program, including coordinating appeals and maintaining communication among team members to facilitate the appeal process.
Health CareHospitalRehabilitation
Responsibilities
Coordinate all activities associated with Commercial Insurance and RAC/MAC requests and appeals inclusive of, but not limited to:
Completion of appropriate forms and face letters
Obtaining signature from Denials Management Manager
Compiling appeal packets
Processing of packets via certified mail
Responsible for tracking hand-off of appeal information among departments and notifying both the Denials Management Manager and the PA Director regarding timelines
Responsible for tracking Commercial Insurance and RAC/MAC timelines for requests and RAC/MAC and Commercial Insurance response
Communicate with all external entities involved in the Commercial Insurance and RAC/MAC process, if applicable
Coordinate scheduling of ALJ level appeals with PA Director’s administrative assistant
Documentation of activity and outcomes in designated computer systems
Maintain open communication between Denials Management Manager, Physician Advisor, Case Management Director, along with other associated departments
Data abstraction and entry related to all levels of Commercial Insurance and RAC/MAC appeals and Denials Management Program outcomes
Assists in preparing reports regarding denials to include volumes, number of appeals, case resolution, and impact on revenue and trending
Qualification
Required
Three to five years related health care experience
Proficiency in Microsoft Word/Windows, Excel, and the ability to learn how to work in multiple computer software systems
Ability to enter data and manage data base with 100% accuracy
Ability to work within strict deadlines
Preferred
Associate Degree in Business or Secretarial Field preferred
High School Diploma with courses in Medical Terminology preferred
Company
Physical Therapy at St. Luke's
Physical Therapy at St. Luke's is a patient-oriented rehabilitation practice that emphasizes education, healing, and exceeds expectations.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase