Northeast Ohio Nephrology Associates, Inc.
Northeast Ohio Nephrology Associates, Inc.

Medical Claims Denial Specialist

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Job Description

We are seeking a Medical Claims Denial Specialist to join our team in Akron! This position is responsible for reviewing and correcting coding errors, payment posting and working all claim denials. This position is NOT a remote position so you will need to be able to work M-F in the office. Nephrology experience is a MUST. This is NOT a position in training. You must already have extensive experience to be eligible for this position.

Duties and Responsibilities:

  • Reviews and corrects coding errors.
  • Conducts patient follow-up calls as well as calls to insurance companies to get claims paid.
  • Performs financial audits on all billable accounts.
  • Must be able to submit claims on Medicare and Medicaid websites.
  • Submit appeals and reconsiderations online or call Insurance Platforms is a MUST.
  • Maintains accurate records of patient financial information in accordance with HIPAA regulations.
  • A good working knowledge of the most common insurance plans.
  • Enforces compliance with all applicable Federal, State, and Local laws and company policies.
  • Performs other related duties as assigned by Management.

Requirements:

  • Claims Denial Specialist experience minimum of two years.
  • Minimum of a High School Diploma or GED required; college degree preferred but not required.
  • Minimum of Two years’ experience in medical billing, payment posting, and claim denials will be required.

Job Type: Full-time

Expected hours: 40 per week

Benefits:

  • 401(k)
  • 401(k) matching
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Ability to commute/relocate:

  • Akron, OH 44304: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • EOB denial / appeals: 2 years (Required)

Work Location: In person

 

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The following information concerning citizenship is furnished for the purpose of securing employment with NEONA, and is furnished with full knowledge of Section 911 of Title 18 of the U.S. Code, which provides as follows: “Whosoever falsely and willfully represent himself/herself to be a citizen of the United States shall be fined not more than $1,000.00 or imprisoned not more than 3 years, or both.”

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Note: If hired, you will be required to furnish proof of U.S. Citizenship or your authorization to work in the U.S. as specified under applicable U.S. Immigration Laws. If employed, you must show documents that prove your identity and employment eligibility as required by the Immigration Reform and Control Act of 1986.

 

NOTE: This section is not applicable to New Jersey residents.

Have you ever been convicted under your current name or any other (I) of a felony or (ii) within the past five years of a misdemeanor which resulted in imprisonment? (Note: conviction is not necessarily a bar to employment.)

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To Be Read and Signed By Applicant

THIS CERTIFIES THAT THIS APPLICATION WAS COMPLETED BY ME, AND THAT ALL ENTRIES ON IT AND INFORMATION IN IT ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND AND AGREE THAT ANY MISREPRESENTATION OR OMISSION OF FACTS IN MY APPLICATION MAY BE JUSTIFICATION FOR REFUSAL TO HIRE, OR TERMINATION OF EMPLOYMENT.

I WARRANT THAT I AM NOT CURRENTLY A PARTY TO ANY EMPLOYMENT OR NON-COMPETE AGREEMENT WHICH MAY LIMIT MY ABILITY TO ACCEPT OR PERFORM THE POSITION FOR WHICH I AM APPLYING.

I FURTHER UNDERSTAND THAT AN INVESTIGATIVE REPORT MAY BE MADE AS TO MY CHARACTER AND GENERAL REPUTATION. I AUTHORIZE ALL PAST EMPLOYERS, SCHOOLS, PERSONS AND ORGANIZATIONS HAVING RELEVANT INFORMATION OR KNOWLEDGE TO PROVIDE IT TO NEONA OR ITS DULY AUTHORIZED REPRESENTATIVE, FOR ITS USE IN DECIDING WHETHER OR NOT TO OFFER ME EMPLOYMENT AND SPECIFICALLY WAIVE ANY REQUIRED WRITTEN NOTIFICATION. I HEREBY RELEASE EMPLOYERS, SCHOOLS, PERSONS AND ORGANIZATIONS FROM ALL LIABILITY IN RESPONDING TO INQUIRIES IN CONNECTION WITH MY APPLICATION.

I AGREE THAT IF I AM EMPLOYED BY NEONA, THE EMPLOYMENT WILL BE EMPLOYMENT AT WILL, AND EITHER I OR NEONA MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME FOR ANY REASON WITHOUT NOTICE, AND THIS APPLICATION SHALL BE A PART OF MY TERMS OF EMPLOYMENT.

IN SIGNING THIS FORM, I CERTIFY THAT I UNDERSTAND ALL OF THE QUESTIONS AND STATEMENTS IN THE APPLICATION.

NOTICE OF NONDISCRIMINATION - As an EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER, NEONA does not discriminate on the basis of race, color, religion, national origin, ancestry, sex, age, disability, sexual orientation, genetic disposition, or status as disabled veteran or veteran of the Vietnam Era.

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