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Denial Management Specialist
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Vendor Managed Inventory Specialist
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The Boeing Company San Antonio, United StatesSupports preparation, development, coordination, scheduling, and change management activities of maintaining an integrated plan to meet program and/or project requirements in accordance with project management industry standards. Participates in main Project Management, Business ...
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Store Manager Trainee/Parts Specialist
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Denial Management Specialist - San Antonio, United States - Ability Rehab Associates
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Description
Job Description
Job DescriptionWe are currently seeking qualified individuals to join our team as a Remote Denial Management Specialist. This position is open to applicants from the United States only.
The Denial Management Specialist will be responsible for reviewing and analysing denial reasons, determining root causes of denials, and working directly with payers to resolve and appeal denied claims. The ideal candidate will have a thorough understanding of claim denial trends, be able to identify patterns, and work proactively to prevent future denials.
Key responsibilities for this role include:
Analyzing denial trends and identifying areas for improvement
Developing and implementing strategies to reduce denial rates
Working closely with billing and coding staff to ensure accurate claim submissions
Collaborating with payers to resolve denials and process appeals in a timely manner
Maintaining up-to-date knowledge of payer policies and regulations
To be considered for this position, applicants must meet the following qualifications:
Bachelor's degree in healthcare management, business administration, or a related field
Minimum of 2 years of experience in healthcare denial management
Strong analytical and problem-solving skills
Excellent communication and negotiation skills
Proficiency in medical billing and coding practices
Ability to work independently and remotely with minimal supervision
This is a full-time remote position, offering competitive compensation and benefits.