Texas Licensed Clinical Denial Specialist

Job Summary

A company is looking for a Clinical Denial Management Specialist I.

Key Responsibilities

• Review, research, and resolve denial of professional claims related to coding and payer policies
• Prepare and submit appeals to payers based on guidelines
• Provide feedback on denial trends to leadership

Required Qualifications

• High School Diploma or equivalent
• 1 year of medical billing or collections experience
• Working knowledge of Epic Resolute
• Coding certifications or degrees preferred
• Licenses and certifications such as CPC or CPMA upon hire preferred