Job Summary
A healthcare company needs applicants for an opening for a Remote Denials Specialist in Frisco.
Core Responsibilities of this position include:
- Validating denial reasons and ensuring coding in DCM is accurate
- Generating an appeal based on the dispute reason and contract terms
- Following specific payer guidelines for appeals submission
Applicants must meet the following qualifications:
- High School Diploma or equivalent, some college coursework preferred
- 3 - 5 years of experience in a hospital business environment performing billing and/or collections
- Understanding of EOB, Managed Care Contracts, Contract Language and Federal/State Requirements
- Intermediate knowledge of hospital billing form requirements
- Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology
- Intermediate Microsoft Office skills
