Technical Denials Management Specialist

Job Summary

A company is looking for a Technical Denials Management Specialist III.

Key Responsibilities

• Review and resolve claim denials and appeals while identifying payment trends
• Contact insurance carriers to check on claims status and prepare/submitting appeals
• Interpret Managed Care contracts and ensure proper reimbursement/collection

Required Qualifications

• High School Diploma or Associate's Degree
• 4 years of experience in medical claims recovery and/or collections with a High School Diploma, or 2 years with an Associate's Degree
• Experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment
• Knowledge of billing and collections regulations
• Familiarity with CMS 1500, ICD-9, and CPT coding is preferred