Denials Specialist

Location: Remote
Compensation: Hourly
Staff Reviewed: Thu, Jun 27, 2024
This job expires in: 10 days

Job Summary

A company is looking for a Denials Specialist in the United States for a remote position.

Key Responsibilities:
  • Validate denial reasons and ensure accurate coding in DCM
  • Generate appeals based on dispute reasons and contract terms
  • Escalate denial or payment variance trends to leadership for resolution

Required Qualifications:
  • Intermediate understanding of EOB, Managed Care Contracts, and medical coding
  • Knowledge of hospital billing forms and terminology
  • Experience in a hospital business environment performing billing and collections
  • High School Diploma or equivalent, some college coursework preferred
  • 3-5 years of relevant experience

COMPLETE JOB DESCRIPTION

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