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Denial Auditor

Job Details

Location:
117 Main St Ext, Middletown, CT 06457
Category:
Finance
Employment Type:
Full-Time
Job Ref:
7030

Denial Auditor

Full-Time/40 Hours


The Smarter Choice for your Career!

Come join one of Connecticut’s Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.

Position Summary:

The Denial Auditor is responsible for analyzing denials data, creating metrics, as well as tracking and trending denials and results. The Denial Management Specialist will identify and trend root causes and report findings as well as assist in mapping out process improvement opportunities. The person in this position will coordinate payor denials and audit Follow-up Representative activities to ensure timely response for the processing of all payor denials, audit requests and appeals.

Minimum Qualifications:

  • Most have a working knowledge of how Epic hospital billing systems work, Training for Epic PB systems will be provided.
  • Knowledge of creating/Maintaining Excel/google sheets is required
  • Ability to multitask, prioritize, and manage time efficiently
  • Strong interpersonal skills
  • Outstanding problem-solving and organizational abilities.

Preferred Qualifications:

  • Epic hospital billing system knowledge desired
  • Epic PB billing system knowledge is a plus
  • A minimum of 5 years experience as a Hospital A/R follow-up Representative or Hospital Billing, Denials Experience preferred

Comprehensive Benefits Offered:

  • Competitive and affordable health benefits (total rewards package)
  • 403(b) retirement plan with company matching
  • Paid holidays, time off and sick time
  • Wellness rewards program
  • Quick commute access from I-84, Route 9 and surrounding areas
  • Free parking with shuttle drop-off service
  • …and much more!



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