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Denial Specialist

Glen Mills, PA

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Description

RemX has partnered with a large healthcare provider in Glen Mills, PA to assist in their search for a Denial Specialist. The Denial Specialist will be responsible for resolving, preventing, and fixing specific denial types for multiple payors and therapies. This is not a remote position. Qualified candidates please submit your resume for immediate consideration.

 

Denial Specialist Job Description:

  • Investigate denied third party claims and take actions to overturn denials for payment
  • Communicate global payor issues with the Payor Relations team.
  • Ensure all denials are fully worked. Denials include but are not limited to: patient insurance termed, additional information needed, medical record requests, COB denials and non-covered services denials.
  • Able to build and maintain relationships with payer representatives in coordination with our internal teams for projects involving payer contact.

Job Requirements

Denial Specialist Requirements:

  • High School diploma or equivalent
  • Ability to overturn denied third party claims.
  • Detail oriented, highly organized, and resourceful
  • Superior knowledge of software and other systems and portals used within RCM.
  • Clear, effective written and verbal communication skills
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