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Denial Management Specialist
This job is now closed
Job Description
- Req#: 49720
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $55,000
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on client satisfaction and member experience
What to Expect (Job Responsibilities):
- Draft written letters of appeal on various types of denied claims
- Utilize account information from various sources to discuss account condition with the payer
- Obtain information from contract summaries to negotiate reimbursement requirements of a claim
- Refer accounts to appropriate departments for necessary action
- Contact insurance companies to follow up on appealed claims
What is Required (Qualifications):
- B.S. degree, or equivalent, in Health Science, Bookkeeping, or Business, plus 3 years of insurance collections/AR receivables experience
- Knowledge of healthcare receivables and collections, including denial and appeal processes
- Good verbal and written communication skills
- Proficient calculator experience
- CPAR certification
How to Stand Out (Preferred Qualifications):
- Experience with Excel
- Experience with STAR, McKesson products
#HealthcareServices #InsuranceCollections #CareerOpportunity #CPARCertification #ExcelSkills
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