Denials Specialist Healthcare in Omaha, NE

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 in Omaha, NE
33950 - 47530
25th percentile
33950
New to the role, with little or no experience; requires more than casual instruction or supervision to perform day-to-day duties
50th percentile
40013
Has the experience to consistently perform core responsibilities without direct supervision; very comfortable with processes and subject matter associated with the role
75th percentile
47530
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
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