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Description
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion.
Manages and controls all processes related to Denials Management in the Inpatient, Outpatient (COPC and Specialty Clinics) and Emergency areas. Denials/Collections Manager is responsible for providing oversight, management, reporting, prevention, and resolution of the denial inventory for Government, Managed Care, Non- Government, and Commercial plan payors. This candidate will trend denials for root cause analysis reporting, follow and create value added processes related to denials management, account reviews, and appeals management, and insurance follow up to maximize revenue recovery and denial prevention. Additional, Denials/Collections Manager is responsible for communication and collaboration with Clinical Department Leaders to mitigate denials wherever possible.
MINIMUM SPECIFICATIONS
Education:
BA/BS Degree or higher in education, business administration, health administration or finance preferred or related work experience.
Experience:
- Must have five years of Patient Financial Services or Coding experience, to include three to five years of experience in analysis and resolution of hospital denials and two years of experience in a lead role.
- Must have experience with interpreting Medical Documentation and constructing effective appeal letters to overturn denials.
- Must have strong working knowledge of medical terminology and strong knowledge of HCPCS Codes and ICD-10 Codes
Equivalent Education and/or Experience
- May have an equivalent combination of education and experience to substitute for both the education and the experience requirements.
Skills or Special Abilities:
- Must possess an expert level knowledge of PFS operations, including operations in a hospital healthcare environment.
- Must be able to prioritize efforts to achieve strategic goals.
- Must have excellent verbal and written communication skills.
- Must be customer service oriented.
-Must be able to think creatively and strategically in developing and implementing management procedures, goals and objectives.
Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
