Denials Specialist Aya Healthcare

• 4.2 San Leandro, CA Job Details Contract $28
• $31 an hour 1 day ago Benefits Health insurance Dental insurance Vision insurance Life insurance Qualifications Microsoft Excel Microsoft Outlook Managed care Electronic health records (EHR) management Writing skills Health insurance policy knowledge Contract interpretation Coding for hospital billing Word embeddings Patient management software High school diploma or GED Medical explanation of benefits reviews Grammar Experience Medical terminology Full Job Description Aya Healthcare has an exciting 26 week contract as a Denials Specialist located in San Leandro, CA!

Job Details:

JOB TITLE

Denials Specialist

CONTRACT DURATION

26 week contract with possibility of extending

SHIFT:

M-F 7:30-4pm

LOCATION

San Leandro, CA

• hybrid

ONBOARDING TIME

Expect 2-3 weeks from offer acceptance to start date.

PAY:

$28-31hr

DETAILS ABOUT THE DENIALS SPECIALIST

High skill set in

Medi-Cal Qualifications Minimum Experience:

3

• 5 years of experience in a hospital business environment performing billing and/or collections.

OR two years of experience in a Revenue Cycle area within the Alameda Health System.

Required Education:

High school diploma or equivalent education. Job Summary The PFS Denial Specialist is responsible for validating dispute reasons following Explanation of Benefits (EOB) / Remittance Advice review, escalating payment variance trends and/or issues to management, and generating appeals for denied and/or underpaid claims. Knowledge, Skills and Abilities

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Act in an appropriate and professional manner as defined by the company's Standards of Behavior, Policy and Procedures, and Scope of Services.
• Current office administrative practices and procedures.
• Establish and maintain effective working relationships with a variety of individuals from various socioeconomic, ethnic and cultural backgrounds.
• Excellent communication skills, both written and verbal; advanced business letter writing skills to include correct use of grammar and punctuation.
• Intermediate computer skills including thorough understanding of the EHR system, Microsoft Office (Word, Outlook, Excel).
• Intermediate knowledge of CPT and ICD-10 codes, coding and medical terminology.
• Intermediate knowledge of insurance claims and insurance terminology.
• Intermediate knowledge of UB-04 and Explanation of Benefits (EOB) interpretation.
• Intermediate understanding of Explanation of Benefits form (EOB), Managed Care Contracts, Contract Language and Federal and State Requirements.
• Role model AHS Standards of Behavior.
• Should have a good understanding of payer contract language, and how to apply language to reimbursements.
• Use independent judgment and initiative within established policies and procedures.

AYA DELIVERS

…

• Front-of-the-line access to exclusive jobs at thousands of healthcare facilities nationwide.
• A robust team to support you every step of the way to ensure you start on time, have accurate payroll and an exceptional experience.
• A credentialing specialist to streamline the entire compliance process.
• And of course, you get the usual benefits such as: o Premium medical, dental, vision and life insurance beginning day one of your assignment.

o Pay listed above includes taxable wages and tax-free expense reimbursements, when applicable. Aya Healthcare is an Equal Opportunity Employer and encourages all to apply!

Pay:

$28.00

• $31.

00 per hour

Benefits:

Dental insurance Health insurance Vision insurance Application Question(s): Do you have 3 years experience working with Medi-Cal? Do you have3

• 5 years of experience in a hospital business environment performing billing and/or collections.

OR two years of experience in a Revenue Cycle area within the Alameda Health System? Ability to

Commute:

San Leandro, CA (Required)

Work Location:

Hybrid remote in San Leandro, CA