Clinical Denials and Appeals Specialist

at OSF HealthCare (Main Office) in East Peoria, Illinois, United States

Job Description

Overview

Expected pay for this position is $21.30 - $25.05/hour. Actual pay will be determined by experience, skills and internal equity.
POSITION SUMMARY:
The Clinical Denials & Appeals Specialist is responsible for abstracting data and entering information into computerized databases to support clinical denials and appeals. The Specialist completes denials issues to OSF HealthCare from Medicaid. Supports departmental staff with clerical functions of their role, including but not limited to providing appeal letters, providing medical records to outside agencies, communication management, and documentation of denials in electronic systems.
Qualifications

REQUIRED QUALIFICATIONS:
Education: Associates
Experience: 1 year of clerical work experience
Other skills/knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem solving skills, with the ability to be detail oriented.
PREFERRED QUALIFICATIONS:
Working knowledge of a clinical EMR system. Familiar with medical terminology. Demonstrated ability to work independently and execute own workload within established time frame. Flexibility and willingness to adapt to evolving job roles within the constantly changing work environment.
OSF HealthCare is an Equal Opportunity Employer.

EOE