Denial Appeals Specialist
ProKatchers
Job Title : Denial Appeals Specialist Location : Dallas, TX
Duration ; 6+ Months Education : High School Diploma or GED required
Shift Details : Days Shift
Job Requirements: General Description:
Duration ; 6+ Months Education : High School Diploma or GED required
Shift Details : Days Shift
Job Requirements: General Description:
- Look for candidates that have more administrative skills but also experience in healthcare.
- Looking for someone with good attention to detail, experience with correspondence, mailing/submitting appeals (if possible), data entry.
- Prepare and submit appeals, reconsiderations, and redeterminations for denied claims
- Review accounts and payer guidelines to determine appropriate appeal strategies
- Draft non-clinical appeal letters for outpatient and pre-authorization denials
- Compile and submit supporting documentation including medical records
- Handle resubmissions and track previously submitted appeals
- Process incoming and outgoing correspondence (mail, fax, portals)
Vacancy posted 8 hours ago
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