Job Summary

A healthcare company is searching for a person to fill their position for a Remote Healthcare Denials Specialist in Frisco.

Core Responsibilities of this position include:

• Validating dispute reasons following Explanation of Benefits (EOB) review
• Validating denial reasons and ensures coding in DCM is accurate
• Escalating exhausted appeal efforts for resolution

Applicants must meet the following qualifications:

• 3 - 5 years of experience in a hospital business environment performing billing and/or collections
• Intermediate understanding of Explanation of Benefits form (EOB)
• Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology
• Intermediate knowledge of hospital billing form requirements (UB-04)
• Advanced business letter writing skills
• Intermediate Microsoft Office (Word, Excel) skills