Job Summary
A healthcare services company has an open position for a Telecommute Healthcare Denials Specialist in Frisco.
Individual must be able to fulfill the following responsibilities:
- Generate an appeal based on the dispute reason and contract terms specific to the payor
- Validate denial reasons and ensures coding in DCM is accurate
- Follow specific payer guidelines for appeals submission
Position Requirements Include:
- 3 - 5 years of experience in a hospital business environment performing billing and/or collections
- High School Diploma or equivalent, some college coursework preferred
- Intermediate knowledge of hospital billing form requirements (UB-04)