Denials Management Specialist

3 weeks ago


Rancho Mirage, United States Plaxonic Technologies Inc. Full time

**Job Title: Denials Analyst**
**Location - Rancho Mirage, CA**
**OT: 8 hour shifts - OT after 8 hours**
**Insurance Requirements: CERTIFICATE OF LIABILITY INSURANCE**

**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.

**Specific Skills, Knowledge, Abilities Required**
- Strong Analytical skills, Proficient in Microsoft Windows with emphasis on Excel.
- Ability to prioritize and coordinate workflow and attention to detail.
- 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**: Contract, Temporary

Pay: $23.00 - $25.00 per hour

Schedule:

- 8 hour shift

License/Certification:

- Certified coder or currently enrolled in a coding program (required)

Work Location: In person



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