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The Denials Management Specialist is responsible for analyzing denied claims, preparing and submitting appeal letters, and working with insurance companies to resolve denied claims efficiently.
Key Responsibilities:
- Analyze denied claims to identify reasons for denial.
- Prepare and submit detailed appeal letters to insurance companies.
- Follow up with insurance companies to resolve denied claims.
- Collaborate with billing and coding teams to ensure accurate claim submissions.
- Maintain detailed records of denial reasons, appeals submitted, and outcomes.
- Identify trends in denials and provide feedback to prevent future occurrences.
- Communicate with patients and healthcare providers regarding the status of denied claims.
- Stay updated on changes in insurance policies and guidelines.
Qualifications:
- Bachelors degree in Healthcare Administration, Business, or a related field.
- 3 years of experience in medical billing, coding, or denials management.
- Strong understanding of insurance policies, guidelines, and regulations.
- Excellent analytical and problem-solving skills.
- Proficiency in medical billing software and Microsoft Office Suite.
- Strong communication and negotiation skills.
- Attention to detail and the ability to work independently.
Full Time
$51k-67k (estimate)
06/02/2024
06/30/2024
The job skills required for Denials Management Specialist include Problem Solving, Microsoft Office, etc. Having related job skills and expertise will give you an advantage when applying to be a Denials Management Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Denials Management Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Denials Management Specialist positions, which can be used as a reference in future career path planning. As a Denials Management Specialist, it can be promoted into senior positions as a Patient Accounts Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Denials Management Specialist. You can explore the career advancement for a Denials Management Specialist below and select your interested title to get hiring information.