Denial Resolution Specialist

3 weeks ago


Greenville, South Carolina, United States Carolina Nephrology Full time
About the Role

The Denial Resolution Specialist will work closely with our team to resolve denied claims, investigate root causes, and communicate effectively with leadership.

Job Description
  • Appeal denied claims, researching underlying root causes, collecting required information, adjusting accounts as necessary, and resubmitting claims.
  • Contact payers via portals or phone to work denials efficiently.
  • Follow up on outstanding claims and verify insurance information.
Benefits and Compensation

$16-$21 per hour, plus benefits including 401(k), dental, health, life, paid time off, and vision insurance.

Requirements
  • 1 year of medical billing experience with appeals, corrected claims, denials, and verification of insurance information.
  • Ability to read explanation of benefits from payers.
  • Comfortable communicating denial root causes/resolution to leadership.


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