Technical Denials SpecialistBeacon Health System • Granger, Indiana, United States, 46530
No longer accepting applications
Technical Denials Specialist
Beacon Health System • Granger, Indiana, United States, 46530
30+ days ago
Job type
- Full-time
Job descriptionManages the end-to-end process for claim denials and appeals, including receipt, analysis, documentation, submission, and resolution with third-party payers. Handles denials related to eligibility, medical necessity, prior authorization, non-coverage, and coding errors. Performs root cause analysis to identify trends in denials and collaborates with internal stakeholders, particularly Patient Access and Registration, to provide feedback and recommend process improvements. Submits timely and accurate appeals with appropriate supporting documentation and in accordance with payer guidelines and timelines. Prepares and distributes monthly denial trend reports and dashboards to Revenue Cycle leadership, highlighting key findings, financial impacts, and suggested corrective actions. Works closely with Revenue Cycle leadership to develop and implement preventative strategies aimed at reducing eligibility and authorization-related denials. Recommends enhancements to claim edits, workflows, or registration practices to reduce recurring denial types. Reviews payer correspondence and authorization requirements to assess financial risk and initiate retro-authorization requests when appropriate. Maintains accurate records of all appeals activity and correspondence, ensuring compliance with internal policies and external regulations. Ensures adherence to HIPAA, fraud and abuse laws, and organizational policies related to data security and confidentiality. Maintains effective communication with payers and internal stakeholders, demonstrating professionalism, urgency, and accountability. Engages in continuous learning to stay updated on payer requirements, industry changes, and revenue cycle best practices. Attends and participates in department meetings and is accountable for all information shared. Completes mandatory education, annual competencies and department specific education within established timeframes. Completes annual employee health requirements within established timeframes. Maintains license / certification, registration in good standing throughout fiscal year. Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position / department. Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self. Adheres to regulatory agency requirements, survey process and compliance. Complies with established organization and department policies. Available to work overtime in addition to working additional or other shifts and schedules when required. Leverage innovation everywhere. Cultivate human talent. Embrace performance improvement. Build greatness through accountability. Use information to improve and advance. Communicate clearly and continuously. The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a Bachelor’s degree ( required ) preferably in Health Administration, Business, Public Health, or a related field. Minimum of 3 years of experience in hospital revenue cycle operations, with emphasis on denial management and appeals. ? Knowledge & Skills Strong understanding of hospital registration, eligibility verification, and payer authorization processes. Experience analyzing denial trends and providing actionable insights to cross-functional teams. Proficient in Microsoft Office, hospital billing systems, and electronic health records (EHR). Exceptional analytical, organizational, and written communication skills. Ability to work independently, manage competing priorities, and collaborate effectively with clinical and non-clinical departments. Works in an office environment. Requires the physical ability and stamina to perform the essential functions of the position.
Technical Denials Specialist
The Technical Denials Specialist plays a critical role in the health system’s revenue cycle operations by managing and appealing payer denials, with a strong focus on medical necessity, authorization, and eligibility issues. This position is responsible for identifying root causes, preparing and submitting appeals, and providing actionable feedback to key departments such as Patient Access and Registration. Through data analysis, reporting, and cross-functional collaboration, this role helps drive improvements that reduce denials and ensure optimal reimbursement.
MISSION, VALUES and SERVICE GOALS
- MISSION : We deliver outstanding care, inspire health, and connect with heart.
- VALUES : Trust. Respect. Integrity. Compassion.
- SERVICE GOALS : Personally connect. Keep everyone informed. Be on their team.
Principal Duties and Responsibilities
ORGANIZATIONAL RESPONSIBILITIES
Associate complies with the following organizational requirements :
Commitment to Beacon's six-point Operating System, referred to as The Beacon Way :
Education and Experience
Working Conditions
Physical Demands
PI762b37164c51-30511-37986424
Create a job alert for this search
Technical Specialist • Granger, Indiana, United States, 46530
Related jobs
Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create over a million smiles a year in the communities we serve and believe that every person ...Show more
Your key responsibilities include : .Maintaining accurate patient records and adhering to .Australian dental regulations and best practices.
Flexibility : While we try hard not to change plans, sometim...Show more
This is your opportunity to grow your career with the nation's largest network of implant providers!.As a dentist in our network, you not only change smiles you change lives!.Our practices provide ...Show more
Apple Retail is where the best of Apple comes together.We bring our expertise to help people do what they love, delivering an only-at-Apple experience.
At Apple, we believe inclusion is a shared res...Show more
Join Heartland Dental where you can make a significant impact on the dental field and be part of a team that values your expertise! If you are a patient-focused hygienist looking to expand your ski...Show more
Are you an experienced dentist with a caring bedside manner and effective communication skills? Our busy practice is looking for a licensed dentist to assist our patients in achieving optimum oral ...Show more
As a General Dentist, you will be essential in delivering comprehensive dental care and enhancing patient health through effective assessment and treatment.
Your core skills in dental terminology, p...Show more
The Dental Center of Mishawaka is looking for an associate dentist to join our practice! Our ideal candidate would treat adults and children.
We pride ourselves on providing high-quality dentistry a...Show more
At Aspen Dental, we put You 1st with world-class development plus industry-leading pay.Join our team today as a Dental Hygienist!.
What YOU receive when you join the Aspen team : .Competitive compensa...Show more
With complete clinical independence, you will lead our team to provide the best care possible for patients and help our communities be healthier, feel better, and smile with confidence.We are seeki...Show more
Experienced General Dentist - Solo Practice Opportunity in Elkhart, Indiana.This opportunity is ideal for a dentist who values.
You’ll have full autonomy in treatment planning and the satisfaction o...Show more
Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create over a million smiles a year in the communities we serve and believe that every person ...Show more
At Aspen Dental, we put You 1st with world-class development plus industry-leading pay.Join our team today as a Dental Hygienist!.
What YOU receive when you join the Aspen team : .Competitive compensa...Show more
Hello Elkhart!! Complete Family Dentistry is actively seeking a Dental Hygienist to join our team.Support our mission to providing excellent dental care in the community and help us create more smi...Show more
Join Our Best Life Companies and grow your career with a team thats redefining dental excellence.Why Youll Love Working with Us.
Work in a supportive, collaborative environment that values professio...Show more
This is a part-time position (20-30 hours per week) for up to twelve weeks in Dowagiac, MI.Service encompasses all aspects of the Pokagon Band of Potawatomi Indian's governmental operations.Every e...Show more
Bourbon, Indiana, United States.We are seeking a Dentist who is ready to take their career to the next level while practicing with complete clinical independence.
This is more than a traditional rol...Show more
Decatur Family Dentistry – General Dentist.Are you looking for an opportunity to let your leadership & clinical skill sets shine while supporting a dedicated & growing team in a thriving pr...Show more
Associate Dentist - Up to $100K Sign on Bonus
Pippin Dental & Braces - a Benevis company • Leesburg, IN, United States
Full-time
Last updated: 30+ days ago • Promoted
Dentist - Job Location : Australia or New Zealand - Relocation Bonus
Abano USA • Dowagiac, MI, USA
Permanent
Last updated: 30+ days ago • Promoted
Associate Dentist- South Bend, IN
Affordable Dentures & Implants • Mishawaka, IN, United States
Full-time
Last updated: 1 hour ago • Promoted • New!
Technical Specialist
Apple • Mishawaka, IN, United States
Full-time
Last updated: 30+ days ago • Promoted
Dental Hygienist
Heartland Dental • Elkhart, IN, United States
Full-time +1
Last updated: 30+ days ago • Promoted
General Dentist
Michiana Smiles • Mishawaka, IN, United States
Full-time
Last updated: 30+ days ago • Promoted
Dentist
Heart City Health • Elkhart, IN, United States
Full-time
Last updated: 30+ days ago • Promoted
Dentist
Dental Care Alliance • Mishawaka, IN, United States
Full-time
Last updated: 30+ days ago • Promoted
Dental Hygienist (RDH)
Aspen Dental Management Inc • Warsaw, IN, United States
Part-time
Last updated: 30+ days ago • Promoted
Dentist
Elite Dental Partners • Bourbon, IN, United States
Full-time
Last updated: 30+ days ago • Promoted
General Dentist
gpac • Elkhart, IN, United States
Full-time
Last updated: 30+ days ago • Promoted
Associate Dentist
Benevis • Elkhart, IN, United States
Full-time
Last updated: 28 days ago • Promoted
Dental Hygienist (RDH)
Aspen Dental • Mishawaka, IN, United States
Full-time
Last updated: 1 hour ago • Promoted • New!
Dental Hygienist
Complete Family Dentistry • Elkhart, IN, United States
Full-time
Last updated: 3 hours ago • Promoted • New!
Associate Dentist (Granger)
Our Best Life Companies • Granger, IN, United States
Full-time
Last updated: 13 days ago • Promoted
Dentist
Pokagon Band of Potwatomi Indians • Dowagiac, MI, United States
Part-time
Last updated: 30+ days ago • Promoted
Dentist - Bourbon, IN
Mission Box Technologies • Bourbon, IN, US
Full-time
Last updated: 30+ days ago • Promoted
Dentist
Decatur Family Dentistry • Decatur, MI
Full-time
Quick Apply
Last updated: 30+ days ago