Halifax Health is seeking an Appeals Specialist for the PBFS - Administration Department.
The Appeals Specialist is responsible for monitoring and tracking the status of appeals submitted by the Clinical Appeals Representative. The position involves but is not limited to reviewing incoming denials for appropriateness, documenting the denial specifics into the current software, follow up on expected reimbursement and assisting with report development. The Appeals Specialist also provides follow up on aging clinical accounts on the DNFB and the AR Report. The position provides assistance and support to the Clinical Appeals Representative and the Revenue Integrity Coordinator. The Appeals Specialist requires a strong knowledge of hospital billing and reimbursement. This position also coordinates with the outpatient oncology center for documenting and tracking the denials and appeal of outpatient services. The Appeals Specialist works collaboratively with the staff and management involved in key areas of the revenue cycle, Case Management and Health Information Management.
Recognized as one of the 50 Top Cardiovascular Hospitals™ in the United States by IBM Watson Health™, Halifax Health serves Volusia and Flagler counties, providing a continuum of health care services through a network of organizations including a tertiary hospital, two community hospitals, urgent care clinics, psychiatric services, a cancer treatment center with five outreach locations, the area’s largest hospice, a center for inpatient rehabilitation, outpatient rehabilitation clinics, primary care walk-in clinics, a clinic specializing in women’s health, a pediatric care community clinic, five pediatric medical practices, a home health care agency and an exclusive provider organization. Halifax Health offers the area’s only Level II Trauma Center, Thrombectomy-Capable Stroke Center (TSC), Center for Transplant Services, Pediatric Intensive Care Unit, Child and Adolescent Behavioral Services, complete Neurosurgical Services, OB Emergency Department and Level III Neonatal Intensive Care Unit that cares for babies born earlier than 28 weeks. For more information, visit halifaxhealth.org.
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