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Denials Specialist

4 months ago


Rancho Mirage, United States Tekrek Solutions Inc Full time

**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**:

- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday

**Experience**:

- ICD-10: 1 year (required)
- Denials: 1 year (required)
- Medical billing: 1 year (required)
- CPT coding: 1 year (required)
- HCPC: 1 year (required)
- Patient Accounting: 1 year (required)
- Documentation review: 1 year (required)
- Hospital: 1 year (required)

License/Certification:

- Certified coder (required)

Ability to Commute:

- Rancho Mirage, CA 92270 (required)

Ability to Relocate:

- Rancho Mirage, CA 92270: Relocate before starting work (required)

Work Location: In person