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Job · Erlanger, KY · Full time

Specialist Technical Denial

Summit Medical Group · Health Care · $548.3M budget · 2,506 staff · Since 1995

This job has closed.

Why Summit Medical Group

FY2024 · Form 990Its mission and biggest programs, as filed

Provides quality medical care to all patients, regardless of ability to pay.

  • Summit Medical Group, INC. DBA st. Elizabeth physicians ("sep") is a multi-specialty physician organization dedicated to physician directed delivery of quality Medical care in the northern kentucky, southwestern ohio, and southeastern indiana areas. St. Elizabeth physicians and associates are patient…$454.5M spent in FY2024

Before you apply

FY2024 · Form 990Independent: from IRS data, not the org
Pays its leaders
$515K–$1.6M
12 officers reported
Fine: from the org's Form 990.
Pt VII · Sec A
Budget
$547.1M
spent in FY2024
Fine: from the org's Form 990.
Pt I · Ln 18
Staff
2,506
employees
Fine: from the org's Form 990.
Pt I · Ln 5–6
Spent on programs
83%
of spending
Looks good: 83% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Surplus or deficit
+<1%
of revenue, FY2024
Looks good: revenue was at least expenses in the latest filing.
Pt I · Ln 19
Cash reserves
<1 mo
of spending, in cash and securities
Concern: 0.5 months of spending in cash; under 2 weeks.
Pt X · Ln 1–2 · Pt I · Ln 18
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file
IRS status
501(c)(3)
tax-exempt since 1998
Looks good: listed by the IRS.
IRS BMF
Looks goodFineWorth a lookConcernTap a box for the reason.

About the role

The org's own posting, as written

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 40 💙 Why You’ll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 🌟 Benefits That Support You We invest in you — personally and professionally.

Enjoy: - Competitive pay and comprehensive health coverage within the first 30 days. - Generous paid time off and flexible work schedules - Retirement savings with employer match - Tuition reimbursement and professional development opportunities - Wellness, mental health, and recognition programs - Career advancement through mentorship and internal mobility Job Summary: St. Elizabeth is hiring a Technical Denials Specialist! This position is remote after an initial training period and will be full-time dayshift. The Technical Denials Specialist is responsible for analyzing, resolving, monitoring and reporting non-clinical denials to Denials Unit Manager as appropriate.

The Technical Denial Specialist is responsible for follow-up and resolutions for denials escalated through a work queue, providing appropriate denial information to be submitted to departments to ensure systems, processes and measures of effectiveness (e.g. Remediation action plans) are created and implemented to resolve root cause issues, reviews and resolves technical denials received post service, and reduce/ eliminate denials. The Technical Denial Specialist should remain in full compliance with all departmental, institutional and regulatory policies and procedures at all times. The roles and responsibilities of this job support the mission, vision, values and strategies of St.

Elizabeth Healthcare. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.

Job Description

Reviews, researches and addresses non-clinical denials. Addresses all accounts assigned to work queues and completes all necessary activity as defined in departmental policies and procedures. Performs extensive follow-up, completes appeals and referrals to other stakeholders, when appropriate. Investigates and/or ensures that questions and requests for information are responded to in a timely and professional manner to ensure resolution of outstanding accounts. Performs ongoing monitoring of denials accounts worked, as necessary, to ensure maximization of collection dollars by providing appropriate follow-up and documenting actions taken.

Utilizes all appropriate systems to effectively research accounts and complete…

Read the full posting

About Summit Medical Group

From its Form 990