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Education
Required: High School diploma or equivalent
Preferred: Associate degree
Licensure/Certification
Preferred: Certified coder or currently enrolled in a coding program
Experience
Required: Minimum of two years of Professional Billing with an emphasis in Managed Care denial follow up and appeals processing Prior hospital billing experience a plus.
Preferred: three to five years of Patient Accounting in a high-volume environment.
Knowledge of CPT, HCPC and ICD 10 coding requirements with emphasis on modifiers and diagnosis association.
Working knowledge of LCD's, NCCI and MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims, authorization, and documentation requirements.
Job Types: Full-time, Contract
Pay: $22.93 - $26.45 per hour
Benefits:
Schedule:
Experience:
License/Certification:
Ability to Commute:
Ability to Relocate:
Work Location: In person
Contractor | Full Time
IT Outsourcing & Consulting
$44k-55k (estimate)
05/31/2024
09/26/2024
tekrek.com
San Ramon, CA
<25
IT Outsourcing & Consulting
The job skills required for Denials Specialist include Billing, Accounting, Medical Billing, Managed Care, etc. Having related job skills and expertise will give you an advantage when applying to be a Denials 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 Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Denials Specialist positions, which can be used as a reference in future career path planning. As a Denials Specialist, it can be promoted into senior positions as a Collections Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Denials Specialist. You can explore the career advancement for a Denials Specialist below and select your interested title to get hiring information.