Registered Nurse – Home Infusion Specialist at Pentech Healthcare
Marcus Hook, PA
About the Job
The Denial Management Specialist will be responsible for resolving, preventing and fixing specific denial types for multiple payers in new lines of business.
Essential Job Duties:
Pentec Health offers a comprehensive compensation and full benefits package. Actual pay will be based on several factors such as qualifications and skills for the role plus geographic location.
Benefits may include but are not limited to medical, dental, vision, 401k match, PTO, paid holidays, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits
Essential Job Duties:
- Investigate denied third party claims and take action to overturn denials for payment.
- Communicate global payor issues with the Payor Relations team.
- Ensure all denials are fully worked and new denials are communicated to supervisor.
- Maintain knowledge of appropriate coding and state mandates related to medical foods and other lines of business.
- Other job duties and special projects as assigned.
- 3-5 years Healthcare experience in a DME or other therapy related to revenue cycle processes 3-5 years Healthcare experience in a DME or other therapy related to revenue cycle processes.
- Basic knowledge of Microsoft Excel to manipulate reports to maximize efficiencies.
- Strong organization skills and strong under pressure.
Pentec Health offers a comprehensive compensation and full benefits package. Actual pay will be based on several factors such as qualifications and skills for the role plus geographic location.
Benefits may include but are not limited to medical, dental, vision, 401k match, PTO, paid holidays, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits
