Accounts Receivable/Denial Management Specialist

Community Medical Center, Inc.-Falls City, Nebraska is hiring an Accounts Receivable/Denial Management Specialist.


Community Medical Center is currently taking applications for a Patient Financial Services Accounts Receivable and Denials Management Specialist.  This full-time position will be responsible for managing various aspects of our revenue cycle. Accurately record and allocate incoming payments to the appropriate accounts. Knowledge of CMS1500, UB04, COB, PHI, and other medical terminology. Provide quality overview of accounts by researching, reviewing, and monitoring claim processing, denials, and payments by payor. Utilize portals such as Availity, Navinet, and UHC Provider for claim status inquiries. Successful candidate will have six months experience in healthcare administration or medical billing. Strong understanding of insurance processes. Experience with payment portals and remittance advice inquiries. Excellent communication skills, ability to multitask, problem-solve, self-driven, strong commitment to accuracy and efficiency, and maintain confidentiality. The ability to use the hospital information system, operate basic computer functions, and proficiency in Excel, Word, and Outlook are required.

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