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Job Requirements of Claims Denial Management Specialist:
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Employment Type:
Full-Time
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Location:
Addison, TX (Onsite)
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Claims Denial Management Specialist
Healthcare Claims Denial Management Specialist - Addison, TX
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Pay: $27/hr
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Schedule: 100% on-site
We are looking for a detail-oriented professional to review, analyze, and resolve denied or underpaid medical claims. The ideal candidate will have 2-4 years of experience in medical billing, claims processing, or denial management , strong knowledge of CPT/HCPCS, ICD-10, and insurance payer rules , and experience with EMR/EHR systems.
Key Responsibilities:
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Review and resolve denied, underpaid, or rejected claims
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Communicate with payers and maintain accurate documentation
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Identify denial trends and recommend process improvements
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Prepare and submit appeals
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Monitor KPIs such as denial rate and appeal success rate
Skills:
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Strong analytical and problem-solving abilities
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Excellent verbal and written communication
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Organized with the ability to manage multiple priorities