Medical Claims Denial Management Specialist
2 weeks ago
Medical Claims Denial Management Specialist - Addison, TX
- Pay: $27/hr
- Schedule: 100% on-site - amazing company culture
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:
- Review and resolve denied, underpaid, or rejected claims
- Communicate with payers and maintain accurate documentation
- Identify denial trends and recommend process improvements
- Prepare and submit appeals
- Monitor KPIs such as denial rate and appeal success rate
Skills:
- Strong analytical and problem-solving abilities
- Excellent verbal and written communication
- Organized with the ability to manage multiple priorities
If you meet the above qualifications, please submit your resume kwright@ or call (972) 546-3606.
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