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Denials Specialist Healthcare

Denials Specialist Healthcare Job Description

Professionals in this role must have knowledge of ICD-10, CPT coding, medical terminology and Microsoft Office. Organizations seek those with strong problem-solving skills, the ability to work well under pressure, and the ability to communicate professionally, effectively and courteously with all types of constituencies. Three to five years of experience in healthcare billing or collections and a high school diploma or the equivalent is required, though most organizations prefer candidates with some college coursework completed.

Typical denials specialist duties:

Validating reasons for denying healthcare claims and ensuring that coding is accurateCoordinating consultations or account referrals when necessaryResearching and compiling necessary supporting documentation for appealsGenerating appeals and online reconsiderations as neededEscalating exhausted appeals efforts for resolution

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Salary for Denials Specialist Healthcare
37250 - 50250
25th percentile
37250
The candidate is new to the role and building the needed skills, experience and autonomy.
50th percentile
43000
The candidate has the experience to perform core responsibilities without direct supervision and is comfortable with the role’s processes and subject matter.
75th percentile
50250
The candidate delivers value beyond the stated job duties, has advanced qualifications and experience, and is ready for the next career level.
Projected salaries for related positions Position title 25th percentile 50th percentile 75th percentile Revenue Cycle Director – Healthcare 84500 109750 130250 Medical Collections Manager/Supervisor 61500 75250 87500 Medical Collections Specialist 36250 41000 48250 Medical Billing Manager/Supervisor 60000 74250 84000 Medical Biller 37500 41750 48500 Revenue Cycle Analyst – Healthcare 50000 64000 73000 Payment Poster – Healthcare 36750 41750 46250 Charge Entry Clerk – Healthcare 36500 40500 45500 Claims Examiner Analyst – Healthcare 47000 57750 67500 Claims Processor – Healthcare 36250 40500 46750

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