Definition and Role Under the direction of the Assistant Director of Revenue Cycle - Revenue Recovery, the Denial Management Specialist is responsible for monitoring denials, appeals, and resolutions ...
Definition and Role Under the direction of the Assistant Director of Revenue Cycle - Revenue Recovery, the Denial Management Specialist is responsible for monitoring denials, appeals, and resolutions ...
PB Denial Specialist - EPIC
TN · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
TN · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
$18.50 - $23.75/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
$18.50 - $23.75/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
TX · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
TX · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
AL · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
AL · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
KY · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
KY · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
Lisle, IL · On-site
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
Quick apply
PB Denial Specialist - EPIC
Lisle, IL · On-site
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
LA · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
LA · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
Lisle, IL · On-site
$30.37 - $45.56/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
Lisle, IL · On-site
$30.37 - $45.56/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
Denial Coding Specialist
Ithaca, NY · Remote
Track and trend denial issues, escalating leadership to assist with process improvements. * Special Projects: Participate in special projects as assigned to improve denial management processes. Who ...
Denial Coding Specialist
Ithaca, NY · Remote
Track and trend denial issues, escalating leadership to assist with process improvements. * Special Projects: Participate in special projects as assigned to improve denial management processes. Who ...
PB Denial Specialist - EPIC
GA · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
PB Denial Specialist - EPIC
GA · Remote
$19.25 - $24.50/hr
... - Assist in troubleshooting Epic PB-related issues that lead to denials. - Develop and maintain denial management policies and procedures. - Prepare and present regular reports on denial trends ...
Insurance Denial Specialist
Madera, CA · On-site
Work closely with coding, billing, case management, utilization review, and clinical departments to ... Document all actions taken within the billing and patient accounting systems. * Assist with payer ...
Insurance Denial Specialist
Madera, CA · On-site
Work closely with coding, billing, case management, utilization review, and clinical departments to ... Document all actions taken within the billing and patient accounting systems. * Assist with payer ...
Authorization and Denial Coordinator
Boston, MA · On-site
$31 - $33/hr
The Opportunity The Authorization and Denial Coordinator is responsible for managing insurance ... Revenue Cycle Support * Assist with claim edits, payment posting discrepancies, and reimbursement ...
Authorization and Denial Coordinator
Boston, MA · On-site
$31 - $33/hr
The Opportunity The Authorization and Denial Coordinator is responsible for managing insurance ... Revenue Cycle Support * Assist with claim edits, payment posting discrepancies, and reimbursement ...
Insurance Denial Specialist
Madera, CA · On-site
$25 - $32/hr
Work closely with coding, billing, case management, utilization review, and clinical departments to ... Document all actions taken within the billing and patient accounting systems. * Assist with payer ...
Insurance Denial Specialist
Madera, CA · On-site
$25 - $32/hr
Work closely with coding, billing, case management, utilization review, and clinical departments to ... Document all actions taken within the billing and patient accounting systems. * Assist with payer ...
Denial Recovery Specialist
$18.75 - $24.25/hr
Manage assigned A/R workqueues to ensure timely follow-up. * Prioritize high-dollar and aging ... Provide feedback to front-end and coding teams to prevent recurring denials. * Assist in developing ...
Denial Recovery Specialist
$18.75 - $24.25/hr
Manage assigned A/R workqueues to ensure timely follow-up. * Prioritize high-dollar and aging ... Provide feedback to front-end and coding teams to prevent recurring denials. * Assist in developing ...
Denial Recovery Specialist
$18.75 - $24.25/hr
Manage assigned A/R workqueues to ensure timely follow-up. * Prioritize high-dollar and aging ... Provide feedback to front-end and coding teams to prevent recurring denials. * Assist in developing ...
Quick apply
Denial Recovery Specialist
$18.75 - $24.25/hr
Manage assigned A/R workqueues to ensure timely follow-up. * Prioritize high-dollar and aging ... Provide feedback to front-end and coding teams to prevent recurring denials. * Assist in developing ...
Denial Recovery Specialist
Chicago, IL · On-site
$18.75 - $24.25/hr
Manage assigned A/R workqueues to ensure timely follow-up. * Prioritize high-dollar and aging ... Provide feedback to front-end and coding teams to prevent recurring denials. * Assist in developing ...
Denial Recovery Specialist
Chicago, IL · On-site
$18.75 - $24.25/hr
Manage assigned A/R workqueues to ensure timely follow-up. * Prioritize high-dollar and aging ... Provide feedback to front-end and coding teams to prevent recurring denials. * Assist in developing ...
Complex Denial Management * Investigate, analyze, and resolve advanced denial categories, including ... To assist in achieving that goal, we conduct background investigations for all prospective ...
Complex Denial Management * Investigate, analyze, and resolve advanced denial categories, including ... To assist in achieving that goal, we conduct background investigations for all prospective ...
Medical Coding Denial Specialist
Aurora, CO · On-site
$26 - $30/hr
Complex Denial Management * Investigate, analyze, and resolve advanced denial categories, including ... To assist in achieving that goal, we conduct background investigations for all prospective ...
Medical Coding Denial Specialist
Aurora, CO · On-site
$26 - $30/hr
Complex Denial Management * Investigate, analyze, and resolve advanced denial categories, including ... To assist in achieving that goal, we conduct background investigations for all prospective ...
Complex Denial Management * Investigate, analyze, and resolve advanced denial categories, including ... To assist in achieving that goal, we conduct background investigations for all prospective ...
Complex Denial Management * Investigate, analyze, and resolve advanced denial categories, including ... To assist in achieving that goal, we conduct background investigations for all prospective ...
Assistant Denial Management information
See salary details
$29K - $32.7K
1% of jobs
$32.7K - $36.4K
4% of jobs
$36.4K - $40K
7% of jobs
$42.5K is the 25th percentile. Wages below this are outliers.
$40K - $43.7K
18% of jobs
The median wage is $46.4K / yr.
$43.7K - $47.4K
27% of jobs
$49.7K is the 75th percentile. Wages above this are outliers.
$47.4K - $51.1K
28% of jobs
$51.1K - $54.8K
7% of jobs
$54.8K - $58.5K
3% of jobs
$58.5K - $62.1K
2% of jobs
$62.1K - $65.8K
1% of jobs
$65.8K - $69.5K
1% of jobs
$29K
$48.4K
$69.5K
How much do assistant denial management jobs pay per year?
What are the key skills and qualifications needed to thrive as an Assistant Denial Management specialist, and why are they important?
What are the typical challenges faced by someone in an Assistant Denial Management role, and how can they be addressed?
What is an Assistant Denial Management?
What is the difference between Assistant Denial Management vs Medical Billing Specialist?
| Aspect | Assistant Denial Management | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires certification in medical billing or coding | Usually requires certification or training in medical billing/coding |
| Work Environment | Healthcare facilities, insurance companies, billing offices | Hospitals, clinics, physician offices, billing companies |
| Primary Responsibilities | Follow up on denied claims, resolve billing issues, ensure payment | Prepare, submit, and manage medical claims, coding, and billing processes |
Assistant Denial Management and Medical Billing Specialist roles both focus on healthcare billing processes. While they share similar credentials and work environments, Assistant Denial Management emphasizes resolving claim denials and appeals, whereas Medical Billing Specialists handle the entire billing cycle. Understanding these differences helps healthcare organizations assign the right tasks to the appropriate roles.
MedCentris rating
6.9
Based on 5 frontline employees who took The Breakroom Quiz
Job description
Definition and Role
Under the direction of the Assistant Director of Revenue Cycle – Revenue Recovery, the Denial Management Specialist is responsible for monitoring denials, appeals, and resolutions from participating insurance carriers and working proactively to collect from insurance carriers.
Job Responsibilities and Duties
- Researches and analyzes denial data and coordinate denial recovery responsibilities.
- Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials
- Develop reporting tools that effectively measure and monitor processes throughout the denials management process in order to support process improvement.
- Prioritizes activities to work overturns in a timely manner to alleviate untimely filings
- Uses reports that categorize denials to assign tasks or personally work to overturn denials
- Identifies and pursues opportunities for improvements in denial performance
- Assists with chart audits as necessary
- Processes work lists to facilitate prompt intervention of insurance denials
- Researches, responds, and documents insurer and patient correspondence/inquiry notes regarding coding coverage, benefits, and reimbursement on patient accounts
- Research rejections included in EOBs for resolution and files appropriately
- Makes management aware of any issues or changes in the billing system, insurance carriers, and/or networks
- Runs daily report from the REG and compare to the PBR daily to ensure all insurance changes have been entered on both sides.
- Helps with coverage for the Financial Coordinator when she is out of the office.
- Helps when needed with retrieving mail delivered to office and sorts appropriately.
Qualifications
- Demonstrated understanding of medical terminology required
- Knowledge of patient confidentiality and HIPAA regulations
- Knowledge of CPT, HCPCS, and ICD10 coding required.
- Knowledge of medical billing and collection practices
- Understands Medicare and Medical Assistance regulations as they apply to job functions
- Knowledge working with electronic health records (EHR/EMR) or healthcare related computer systems
- Excellent written and verbal skills are required as well as outstanding interpersonal skills
- Practices efficient methods for getting work done; strong ability to prioritize workload
- Organized; sets priorities; meets deadlines
- Ability to work independently
Physical Requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing this job the employee is frequently required to sit, talk and hear.
- The employee is occasionally required to walk, use hands and fingers to feel, handle, or operate objects, tools, or controls, and reach with hands and arms.
- The employee must occasionally lift and/or move objects weighing up to 25 pounds.
- Specific vision abilities required by this job include close vision and the ability to adjust and focus.
- Emotional/Psychological: Constant ability to make decisions and concentrate.
About MedCentris
Sourced by ZipRecruiter
Industry
Outpatient health care
Company size
51 - 200 Employees
Headquarters location
Hammond, LA, US
Year founded
2009