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Denial Specialist, Part Time, Remote
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Job Description
- Req#: 3779683
Employer Industry: Healthcare
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Flexible remote work options, requiring only 24 hours per week
- Work in a supportive environment with access to patient health information
- Chance to enhance your skills in health information management and medical coding
- Collaborate with a dedicated team to resolve claim denials effectively
What to Expect (Job Responsibilities):
- Manage and review claim denials, including supporting documentation
- Write and submit appeal letters in a timely manner when necessary
- Maintain the Denials database and perform follow-up as required
- Process appeals efficiently while managing patient health information
- Identify and address problematic situations with management for resolution
What is Required (Qualifications):
- High School Diploma or equivalent required; Associate degree in a related field preferred
- Current AHIMA or AAPC credential (RHIA / RHIT / CCS / CCA / CPC / CPC-H) preferred
- At least 1 year of work experience in insurance, customer service, healthcare, or a related field
- Excellent communication, computer, and typing skills required
- Ability to tolerate viewing computer monitors for extended periods of time
How to Stand Out (Preferred Qualifications):
- Familiarity with medical terminology, anatomy, physiology, and various medical specialties
- Knowledge of ICD-10 CM, ICD-10 PCS, CPT, and MS-DRG coding systems
- Understanding of insurance regulations, denial codes, and denial rationale
- Detail-oriented with the ability to work independently
- Resilience and professionalism when handling difficult interactions
#Healthcare #ClaimsManagement #RemoteWork #CareerGrowth #MedicalCoding
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