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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Allscripts
Blood Glucose
Cerner Technologies
Charts - Graphs
Clinical Trial Operations
Dental Benefits
Documentation
EHR SYSTEM
Health Care
HealthCare.gov
Salary for Denials Specialist Healthcare
35000 - 49000
25th percentile
35000
New to the role, with little or no experience; requires more than casual instruction or supervision to perform day-to-day duties
50th percentile
41250
Has the experience to consistently perform core responsibilities without direct supervision; very comfortable with processes and subject matter associated with the role
75th percentile
49000
Value to the organization goes far beyond the ability to perform normal job duties; has rare qualifications that enable consistent contribution in unique ways; ready for next career level when available
Projected salaries for related positions Position title 25th percentile 50th percentile 75th percentile Revenue Cycle Director – Healthcare 84500 109750 130250 Medical Billing Manager/Supervisor 57000 70500 79750 Medical Collections Manager/Supervisor 57750 70750 82000 Revenue Cycle Analyst – Healthcare 49750 63750 72750 Medical Biller 34750 40750 47500 Medical Collections Specialist 34750 40250 47250 Payment Poster – Healthcare 33500 39000 45750 Charge Entry Clerk – Healthcare 32250 37500 45250 Claims Examiner Analyst – Healthcare 47000 57750 67500 Claims Processor – Healthcare 33750 39750 46000

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