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Fairfax County Government · 1 day ago

Denials Specialist (Financial Specialist I)

Fairfax, VA

Full-time

Onsite

Mid Level

$60K/yr - $99K/yr

4+ years exp

Fairfax County Government is seeking a Denials Specialist to support the Fairfax-Falls Church Community Services Board Revenue Management Team. The role involves billing, collection, denial follow-ups, and analyzing insurance denials to mitigate future issues while maintaining confidentiality and expertise in relevant databases.

GovernmentService Industry

Responsibilities

Provides support to revenue and reimbursement billing, collection, denial follow-ups, tracking and reporting for client and third-party fee revenues

Provides support to client payment processes, create, run, and analyze reports in automated billing/management information system

Also analyzes insurance denials to determine the reason and document the system of record accordingly

Identifies root causes and implanting action plans for future denial mitigation will be critical

Must protect individuals’ confidentiality using existing state, local, and federal policies and procedures

Must maintain expertise in several databases related to the electronic health record, insurance verification, and revenue cycle management as well as Microsoft office computer software, especially Outlook, Word, and Excel

Works under general supervision of the Revenue Management Team (RMT) Manager and/or assigned fiscal supervisor

Qualification

BillingAccounts ReceivableEHR ProgramsData AnalysisMicrosoft OfficeMultitaskingProfessionalismProblem SolvingConfidentiality

Required

Graduation from an accredited four-year college or university with a bachelor's degree in accounting; or a bachelor's degree in business administration or related field that has been supplemented by at least 6 credit hours of basic accounting principles and concepts

Four years of increasingly complex technical administrative experience in the assigned functional area, comparable to experience at the Administrative Assistant IV, or higher, level

The appointee to this position will be required to complete a criminal background check, a Child Protective Services Registry check, and sanction screening to the satisfaction of the employer

A TB screening upon hire

Certain positions with financial responsibility within this class may be subject to criminal background checks and/or credit checks as a condition of employment and periodically thereafter, as determined by the department head

This position is emergency/essential services personnel. (Required to report for duty during inclement weather and/or other emergencies.)

Preferred

Strong experience in billing, financial, accounts receivable, and analytical knowledge

Experience using EHR programs such as Credible/NextGen related to, Reporting, Accounts Receivable activities

Experience with complex datasets and creating actionable insights

Detail oriented, problem solver, able to multitask and prioritize. Ability to establish and maintain effective relationships with both internal and external contacts

Well organized, flexible, and adept in the challenges of supporting a work environment that collaborates and coordinates with a variety of county departments

Proactive, efficient, and resourceful with a high level of professionalism and confidentiality

Strong Microsoft Office skills