Current Open Positions

Description:

The Denial Specialist is responsible for all duties involved with complex denials, appeals, and resolutions from commercial, managed care and government payors. Specialists are responsible for telephoning, sending letters to and emailing insurance companies and/or patients to resolve unpaid and underpaid account balances, proactively escalating necessary issues to supervisors, and reaching out to necessary external departments in a timely manner.

• $55,000+ plus fully-paid Medical Insurance.
• Hybrid – 2 days from home and 3 in the office.
• The employee is allowed to select their remote days.
• Company is located in the heart of Buckhead

Job Responsibilities:

1. Identify, review and resolve denials manually and/or electronically by using the designated information technology on a timely basis. Reviews EOBs and remittance reports for denials, errors and resubmits claims with correct data
2. Confirm denial reasons.
3. Generate an appeal based on the dispute reason and contract terms specific to the payors
4. Follow specific payor guidelines and medical policies for appeal submissions
5. Escalate exhausted appeal efforts to the appropriate parties
6. Research and analyze denial data and coordinate denial recovery responsibilities
7. Review patient medical records and utilize regulatory and payor knowledge to Identify, analyze, and research frequent root causes of denials and develops corrective action plans for resolution
8. Document all account activity on each account through descriptive account notes in employer’s system
9. Request documentation from clients as required to resolve accounts
10. Adhere to all policies and procedures

Qualifications:

Minimum Education, Experience and Licensure Required:

• High School Diploma.
• Three (3) years job related experience in hospital Business Office or Central Business Office (CBO).
• Working experience with medical terminology and claim denials/underpayments

Skills, Knowledge and Abilities:

• Proficiency in Microsoft Office products (e.g. Word and Excel)
• Demonstrates understanding of medical terminology
• Knowledge of CPT, HCPCS, ICD-10 coding procedures
• Good communications skills, both written and oral
• Knowledge of medical billing and collection practices
• In-depth working knowledge of Commercial, Managed Care and Government insurance carriers

Applicants should submit resumes to seniorrecruiter@staffingone.com

Seeking strong Conference Registration Typists for a fall conference in downtown Atlanta at the Georgia World Congress Center

• Hourly Pay Rate – $21.00
• Conference Dates: November 16th- 22nd, 2024
• Must be able to work the entire schedule
• Marta strongly recommended as parking is self- paid.
• Will complete a 5-minute Data- Entry Test to qualify!

Applicants should submit resumes to seniorrecruiter@staffingone.com

Schedule A: Assisted Reg. Typist

• Saturday, November 16th – 8:00am- 6:15pm
• Sunday, November 17th – 6:30am- 6:15pm
• Monday, November 18th – 6:30am-9:00pm
• Tuesday, November 19th – 7:00am-5:15pm
• Wednesday, November 20th – 7:00am- 5:00pm
• Thursday, November 21st – 7:00am- 5:00pm
• Friday, November 22nd – 7am- 11am

Schedule B: Assisted Reg Typist

• Saturday, November 16th – 8:00am- 6:15pm
• Sunday, November 17th – 6:30am- 6:15pm
• Monday, November 18th – 6:30am-9:00pm
• Tuesday, November 19th – 7:00am-5:15pm
• Wednesday, November 20th – 7:00am- 5:00pm
• Thursday, November 21st – 7:00am- 5:00pm

Schedule C Assisted Reg. Typist

• Saturday, November 16th –  8:00am- 6:15pm
• Sunday, November 17th – 6:30am- 6:15pm
• Monday, November 18th – 6:30am-9:00pm
• Tuesday, November 19th – 7:00am-2:30pm
• Wednesday, November 20th – 7:00am- 5:00pm

Schedule D Reg .Typist – SHORT Schedule

• Saturday, November 16th – 8:00am- 6:15pm
• Sunday, November 17th – 6:30am- 6:15pm
• Monday, November 18th – 6:30am-8:00pm
• Tuesday, November 19th – 7:00am-2:30pm

Schedule E Assisted Reg. Typist

• Saturday, November 16th – 8:00am- 6:15pm
• Sunday, November 17th – 6:30am- 6:15pm
• Monday, November 18th – 6:30am-8:00pm

Applicants should submit resumes to seniorrecruiter@staffingone.com

Job Description

This position is responsible for providing administrative support for three (3) Customer Service Managers and leadership team handling all administrative and facility needs for the Care organization. A minimum of five years’ experience in the administrative/secretarial/support area is strongly preferred. In addition, the successful candidate must have exceptional organizational and decision-making skills, must be a self-starter and possess the ability and desire to work through changing priorities with minimal supervision.

Duties will include, but are not limited to: travel arrangements, planning and coordinating various events/meeting; budgeting oversight; calendar management; preparing correspondence, reports and presentations. Handling compliance related duties; and assisting with special projects.   This position handles extremely personal and confidential information and requires the highest level of integrity and ethics. Must be able to lift and carry 10 – 20 pounds – occasionally. Finally, the successful candidate must exhibit Our Values and be a team player with an exceptional working knowledge of computer office applications. 

This position is located in McDonough, Georgia. The position must be onsite and provide support between 8 a.m. to 5 p.m. Monday through Friday. 

Applicants should submit resumes to seniorrecruiter@staffingone.com

Qualifications

Education, Certifications/Licenses: 

Required:

• HS Diploma with 5+ years’ experience or Bachelor’s degree in Business Administration and/or other related field

Preferred: 

• 7+ years of experience supporting a manager and/or above
• Certified Administrative Professional (CAP) with the International Association of Administrative Professions (IAAP) or similar certification

  Applicant may possess a combination of equivalent education and work experience.

Specific Skills & Knowledge:

• Demonstrated ability to work independently
• Ability to be self-directed and take a proactive approach to everyday responsibilities
• Ability to interface with diplomacy and tact at all levels, including executives, employees, and customers. 
• Excellent judgment and demonstrated ability to handle business with a high degree of discretion, confidentiality, and diplomacy.
• Ability to manage and complete multiple high-priority projects and activities with strict time-sensitive deadlines.
• Ability to prioritize, coordinate, and schedule various tasks in a dependable and organized manner with little direction.
• In-depth understanding of the importance of day-to-day managers itineraries
• Superior verbal, written, and interpersonal communication skills.
• Keen sense of responsibility in managing other’s schedules
• MS Word, PowerPoint, Excel – intermediate proficiency
• Oracle and/or ERP system – intermediate proficiency
• Time management skills

 Working Conditions/Physical Requirements:  

• Ability to work at a computer
• This position requires occasional travel for events such as, but not limited to: team buildings, lunches/dinners, training conferences, offsite meetings, etc.
• This position requires the ability to lift up to 10 pounds
• The position works in an office environment

 Office Support:

• Keyboarding = 80 – 90%
• Interpersonal communication – 50% -100%
• Travel = occasional 5% – 15%
• On-call = Normal office hours with occasional after hours support 5 -15%

Applicants should submit resumes to seniorrecruiter@staffingone.com