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DENIAL SPECIALIST - HIM DENIAL & AUDIT MGMT

Company: UNC Health Care
Location: Asheville
Posted on: March 22, 2020

Job Description:

DENIAL SPECIALIST - HIM DENIAL & AUDIT MGMTJob ID: OTH01PDZBecome part of an inclusive organization with over 30,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.Job DescriptionThe Denial Specialist will be part of of the UNC Health Shared Services - HIM Denial Management and Audit Team, as well as the Radiation Oncology Financial Team. This position is located within the Department of Radiation Oncology at the North Carolina Cancer Hospital. The candidate will be required to complete a radiation oncology coding certification.

  • Responsible for procedure pre-authorizations, daily review of complex charges along with associated documentation, review and investigation of claim denials, and processing appeals according to payer guidelines.
  • Assigns expected value (payment) of care, acts as a resource to staff relative to concurrent and retrospective denials of payment and services relative to the appeal process.
  • Utilizes excellent written and verbal communication skills, possesses the ability to work independently as well as under supervision, and will exhibit a team-based, customer-centric nature.Qualifications
    • High School diploma or GED.
    • Three (3) years of experience in a clerical, accounting or customer service setting.Primary Location: Chapel Hill, North Carolina, United StatesDepartment: 8000-76050-HIM Denial and Audit ManagemenShift: Day Job

Keywords: UNC Health Care, Asheville , DENIAL SPECIALIST - HIM DENIAL & AUDIT MGMT, Accounting, Auditing , Asheville, North Carolina

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