Healthcare Specialist

3 days ago


Marcus Hook, Pennsylvania, United States Pentech Healthcare Full time
Job Overview

Pentech Healthcare is seeking a highly skilled Denial Management Specialist to join our team. This role is responsible for resolving, preventing, and fixing specific denial types for multiple payers in new lines of business.

Key Responsibilities:
  • Investigate and overturn denied third-party claims for payment.
  • Communicate with the Payor Relations team to address global payer issues.
  • Ensure all denials are fully worked and new denials are communicated to the supervisor.
  • Maintain knowledge of coding and state mandates related to medical foods and other lines of business.
  • Perform other job duties and special projects as assigned.
Requirements:
  • 3-5 years of experience in healthcare, preferably in DME or other therapy related to revenue cycle processes.
  • Basic knowledge of Microsoft Excel to manipulate reports and maximize efficiencies.
  • Strong organization skills and ability to work under pressure.
What We Offer:
  • A comprehensive compensation package, including salary and benefits.
  • A 401(k) match and other additional voluntary benefits.
  • A flexible spending or health savings account.
  • Employee assistance, disability, and life insurance.

Pentech Healthcare offers a dynamic work environment and opportunities for professional growth. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



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